Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
Other names
Memorial Miramar Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN MIRZA (INTERIM CHIEF FINANCIAL OFFICER)
(954) 265-5696
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE STE 107, MIRAMAR, FL 33029
(954) 538-4780
(954) 538-4799
Mailing address
1951 SW 172ND AVE, SUITE 107, MIRAMAR, FL 33029-5613
(954) 538-5550
(954) 538-5556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21083
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008854000
—
FL
01
—
2140353
PK
—
Enumeration date
05/10/2013
Last updated
12/23/2025
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