Organization
GULFSTREAM PHARMA RX LLC
Active
Other names
Gulfstream Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE WASHINGTON (OWNER)
(219) 406-0133
Entity
Organization
Contact information
Practice address
500 GULFSTREAM BLVD, STE 103, BOYNTON BEACH, FL 33436
(219) 406-0133
Mailing address
500 GULFSTREAM BLVD, STE 103, BOYNTON BEACH, FL 33436
(219) 406-0133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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