Organization
MPS RX FLORIDA LLC
Active
Other names
Millennium Pharmacy - Miramar
Organization subpart
No
Provider details
NPI number
Authorized official
RON MCKILLIP (VP BUSINESS SYSTEMS SUPPORT)
(724) 940-2819
Entity
Organization
Contact information
Practice address
11824 MIRAMAR PKWY, BUILDING 9, MIRAMAR, FL 33025-5800
(724) 940-2490
Mailing address
100 E KENSINGER DR, SUITE 500, CRANBERRY TOWNSHIP, PA 16066-3556
(724) 940-2490
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH 24854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5704754
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/07/2011
Last updated
06/13/2011
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