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Organization

INTEGRA NETWORK CORP

Active
Other names
Integra Rx
Organization subpart
No

Provider details

NPI number
Authorized official
ZARINAH HARGROVE (PRESIDENT)
(954) 917-6813
Entity
Organization

Contact information

Practice address
2661 W ATLANTIC BLVD, POMPANO BEACH, FL 33069-2507
(954) 917-6813
(954) 917-6814
Mailing address
2661 W ATLANTIC BLVD, POMPANO BEACH, FL 33069-2507
(954) 917-6813
(954) 917-6814

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336M0002X
Mail Order Pharmacy
Primary
PH24183
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001560800
FL
01
2164045
PK
Enumeration date
09/08/2016
Last updated
09/08/2016
About Stedi
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