Organization
COSTCO
Active
Other names
Pharnacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY MARK WEISLER RPH (PHARMACIST)
(954) 551-4692
Entity
Organization
Contact information
Practice address
1800 W SAMPLE RD, POMPANO BEACH, FL 33064-1324
(954) 972-0313
(954) 972-9738
Mailing address
11064 BRANDYWINE LAKE WAY, BOYNTON BEACH, FL 33473-4888
(954) 551-4692
(954) 972-0368
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PS15275
FL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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