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Organization

NEW LIFE PHCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY DUBE (PRESIDENT)
(561) 479-3433
Entity
Organization

Contact information

Practice address
11443 A W PALMETTO PARK RD, BOCA RATON, FL 33428
(561) 479-3433
(561) 479-3646
Mailing address
11443 A W PALMETTO PARK RD, BOCA RATON, FL 33428

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22218
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1021461
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/26/2006
Last updated
08/22/2020
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