Organization
FOUNDATION PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HEIBLUM PHARMD (PIC/MANAGER)
(305) 586-6302
Entity
Organization
Contact information
Practice address
10204 NW 47TH ST, SUNRISE, FL 33351-7980
(888) 857-1984
Mailing address
10204 NW 47TH ST, SUNRISE, FL 33351-7980
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH35707
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
04/23/2025
Last updated
04/23/2025
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