Organization
MARINE PARK LLC
Active
Organization
MARINE PARK LLC
Active
Other names
DIDI RX, LLC, MARINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA VANESSA RODRIGUEZ (MGR)
(954) 552-2242
Entity
Organization
Contact information
Practice address
3514 BROADWAY, RIVIERA BEACH, FL 33404-2332
(561) 782-7575
(855) 230-7564
Mailing address
3514 BROADWAY, RIVIERA BEACH, FL 33404-2332
(561) 782-7575
(855) 230-7564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31059
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100328900
—
FL
01
—
2177735
PK
—
Enumeration date
12/06/2017
Last updated
01/15/2025
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