Organization
AMERIMEDZ II
Active
Other names
CITY PLACE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH METZLER (OFFICE MGR)
(561) 833-6690
Entity
Organization
Contact information
Practice address
4047 OKEECHOBEE BLVD STE 217, WEST PALM BEACH, FL 33409-3237
(561) 833-9960
(561) 835-1201
Mailing address
4047 OKEECHOBEE BLVD, 217, WEST PALM BEACH, FL 33409-3239
(561) 833-9960
(561) 835-1201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH21575
FL
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031199500
—
FL
01
—
2005741
PK
—
Enumeration date
07/22/2006
Last updated
06/19/2015
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