Organization
LAUDERHILL PHARMACY LLC
Active
Other names
LAUDERHILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT PATEL (PHARMACIST)
(954) 785-7747
Entity
Organization
Contact information
Practice address
5368 N UNIVERSITY DR, LAUDERHILL, FL 33351-5020
(954) 746-2728
(954) 746-2729
Mailing address
5368 UNIVERSITY DR, LAUADERHILL, FL 33351
(954) 746-2728
(954) 746-2729
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24734
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700655
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/14/2010
Last updated
07/28/2010
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