Organization
COMMCARE PHARMACY-FTL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GEORGE RAFFALO JR. (C.O.O.)
(954) 284-2384
Entity
Organization
Contact information
Practice address
855 SW 78TH AVE, STE C100, PLANTATION, FL 33324-3223
(954) 568-6212
(954) 568-2765
Mailing address
855 SW 78TH AVE, STE C100, PLANTATION, FL 33324
(954) 568-6212
(954) 568-2765
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054.016610
IL
333600000X
Pharmacy
Primary
106493
AK
333600000X
Pharmacy
22-44984
KS
333600000X
Pharmacy
2293MS
ID
333600000X
Pharmacy
3817
IA
333600000X
Pharmacy
5788
CO
333600000X
Pharmacy
64000929A
IN
333600000X
Pharmacy
897
CT
333600000X
Pharmacy
A9-0001012
DE
333600000X
Pharmacy
NRP1817
CA
333600000X
Pharmacy
NRX0000870
DC
333600000X
Pharmacy
PH21660
FL
333600000X
Pharmacy
PHNR000479
GA
333600000X
Pharmacy
PMP591
HI
333600000X
Pharmacy
Y005081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031179100
—
FL
05
—
031179101
—
FL
01
—
2010319
PK
—
05
—
691438100
—
FL
Enumeration date
06/30/2005
Last updated
07/21/2022
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