Organization
SIMFA ROSE PHARMACEUTICAL SPECIALTY INC
Active
Other names
SIMFAROSE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE BONANNO PHRMD (PRESIDENT)
(954) 435-7200
Entity
Organization
Contact information
Practice address
10016 PINES BLVD, PEMBROKE PINES, FL 33024-6137
(954) 435-7200
(954) 438-1030
Mailing address
10016 PINES BLVD, PEMBROKE PINES, FL 33024-6137
(954) 435-7200
(954) 438-1030
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH23014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03239000
—
FL
01
—
2010230
PK
—
Enumeration date
11/07/2007
Last updated
07/13/2022
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