Organization
PROVIDER SERVICES OF AMERICA, LLC
Active
Parent organization
OFFICE COMPOUNDING SOLUTIONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OFFICE COMPOUNDING SOLUTIONS, LLC
Authorized official
HARRISON ZIPPER (OWNER)
(561) 463-8102
Entity
Organization
Contact information
Practice address
2385 NW EXECUTIVE CENTER DR, SUITE 100, BOCA RATON, FL 33431-8579
(561) 463-8102
(561) 331-2707
Mailing address
PO BOX 812140, BOCA RATON, FL 33481-2140
(561) 463-8102
(561) 331-2707
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-00063751
CITY TAX RECEIPT
FL
Enumeration date
05/25/2016
Last updated
05/26/2016
About Stedi
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