Organization
SOUTH BROWARD HOSPITAL DISTRICT
Active
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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