Organization
BOCA DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JOHN TIBERIO (PRESIDENT)
(561) 395-8663
Entity
Organization
Contact information
Practice address
156 NW 20TH ST, BOCA RATON, FL 33431-7949
(561) 395-8663
(561) 395-8664
Mailing address
156 NW 20TH ST, BOCA RATON, FL 33431-7949
(561) 395-8663
(561) 395-8664
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH25200
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH25200
FL
3336S0011X
Specialty Pharmacy
PH25200
FL
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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