Organization
COASTAL PAIN MANAGEMENT DELRAY DISPENSARY
Active
Organization
COASTAL PAIN MANAGEMENT DELRAY DISPENSARY
Active
Parent organization
PHYSICIANS CHOICE DISPENSING SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS CHOICE DISPENSING SERVICES
Authorized official
MS. CICELY D EASON (EXECUTIVE ADMINISTRATOR)
(561) 789-4911
Entity
Organization
Contact information
Practice address
75 NE 6TH AVE, SUITE #104, DELRAY BEACH, FL 33483-5435
(561) 272-3880
Mailing address
PO BOX 4688, FORT LAUDERDALE, FL 33338-4688
(954) 376-7313
(954) 697-0153
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME62450
FL
Other
Enumeration date
01/17/2008
Last updated
05/07/2008
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