Organization
CADUCEUS PHARMACY II LLC
Active
Other names
CADUCEUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA A REESE RPH (MANAGING MEMBER/PHARMACIST IN CHARG)
(954) 662-7378
Entity
Organization
Contact information
Practice address
4361 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-4856
(954) 797-8077
(954) 797-8099
Mailing address
4361 N. STATE RD. 7, LAUDERDALE LAKES, FL 33319
(954) 797-8077
(954) 797-8099
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031659800
—
FL
01
—
2004321
PK
—
Enumeration date
02/23/2007
Last updated
10/18/2024
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