Organization
BETHESDA HOSPITAL, INC
Active
Other names
Bethesda Hospital Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JARED SMITH (CEO)
(561) 292-4511
Entity
Organization
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
(561) 292-4511
Mailing address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7934
(561) 292-4511
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708055
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/10/2011
Last updated
04/24/2023
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