Organization
ROYAL PALM COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JAY RUBIN RPH (PRESIDENT)
(561) 784-0700
Entity
Organization
Contact information
Practice address
117 S STATE ROAD 7, SUITE 201, WELLINGTON, FL 33414-4338
(561) 784-0700
(561) 784-0300
Mailing address
7040 W PALMETTO PARK RD, SUITE 4-842, BOCA RATON, FL 33433-3407
(561) 784-0700
(561) 784-0300
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH24074
FL
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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