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Organization

PHARMAUSA LLC

Active
Other names
GULFSTREAM PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
BHARAT PATEL (PHARMACIST/OWNER)
(954) 785-7747
Entity
Organization

Contact information

Practice address
406 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5563
(954) 455-2525
(954) 455-2521
Mailing address
406 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5563
(954) 455-2525
(954) 455-2521

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH24745
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5700718
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/15/2010
Last updated
07/15/2010
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