Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Organization
NORTH BROWARD HOSPITAL DISTRICT
Active
Other names
BHMC OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE LACKNAUTH PHARMD. , MBA, MS (CORPORATE DIRECTOR OF PHARMACY SERV)
(954) 355-5559
Entity
Organization
Contact information
Practice address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 468-8082
(954) 712-3900
Mailing address
1600 S ANDREWS AVE, FT LAUDERDALE, FL 33316-2510
(954) 468-8082
(954) 712-3900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026944100
—
FL
01
—
2006536
PK
—
Enumeration date
07/17/2006
Last updated
06/21/2019
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