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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