Organization
COUNTRY VALUE PHARMACY LLC
Active
Organization
COUNTRY VALUE PHARMACY LLC
Active
Other names
Country Value Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AL LEFRANCOIS (MANAGER)
(561) 995-0355
Entity
Organization
Contact information
Practice address
6201 N FEDERAL HWY, BOCA RATON, FL 33487-3200
(561) 995-0355
(561) 995-0435
Mailing address
6201 N FEDERAL HWY, BOCA RATON, FL 33487-3200
(561) 995-0355
(561) 995-0435
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5703245
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2010
Last updated
04/13/2011
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