Organization
PHYSICIAN FAMILY PHARMACY CORP. PHYSICIAN FAMILY PHARMACY
Active
Parent organization
PHYSICIAN FAMILY PHARMACY CORP
Other names
PHYSICIAN FAMILY PHARMACY CORP. PHYSICIAN FAMILY PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIAN FAMILY PHARMACY CORP
Authorized official
ANGELITA NICOLAS (OWNER / PRESIDENT)
(561) 508-8449
Entity
Organization
Contact information
Practice address
5869 LAKE WORTH RD, GREENACRES, FL 33463-3209
(561) 508-8449
Mailing address
5869 LAKE WORTH RD, GREENACRES, FL 33463-3209
(561) 508-8449
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32219
DOH LICENSE
FL
Enumeration date
08/10/2020
Last updated
08/10/2020
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