Organization
RX DEPOT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA SUHANOV (PRESIDENT)
(954) 306-6306
Entity
Organization
Contact information
Practice address
5559 N STATE ROAD 7, FORT LAUDERDALE, FL 33319-2923
(954) 306-6306
(954) 306-6185
Mailing address
5559 N STATE ROAD 7, FORT LAUDERDALE, FL 33319-2923
(954) 306-6306
(954) 306-6185
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 24964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2511
DOCUMENT NUMBER
FL
Enumeration date
10/26/2010
Last updated
10/27/2010
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