Organization
IMPERIAL POINT PHARMACY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE E. MANN R.PH. (PHARMACIST IN CHARGE)
(954) 210-7350
Entity
Organization
Contact information
Practice address
6310 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1906
(954) 210-7350
(954) 736-4321
Mailing address
6310 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1906
(954) 210-7350
(954) 736-4321
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26971
FL
3336C0004X
Compounding Pharmacy
PH26971
FL
Other
Enumeration date
08/09/2013
Last updated
09/26/2015
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