Organization
BOCA PHARMACY INC
Active
Other names
BOCA PHARMPAC
Organization subpart
No
Provider details
NPI number
Authorized official
WILFRED LUMB RPH (OWNER)
(561) 368-6161
Entity
Organization
Contact information
Practice address
5458 TOWN CENTER RD, STE 7, BOCA RATON, FL 33486-1089
(561) 393-6778
(561) 393-7650
Mailing address
5458 TOWN CENTER RD, STE 7, BOCA RATON, FL 33486-1089
(561) 393-6778
(561) 393-7650
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH11442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077836
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
212557900
—
FL
Enumeration date
10/12/2006
Last updated
02/16/2010
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