Organization
LURDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK IRVING (DIRECTOR)
(954) 822-1341
Entity
Organization
Contact information
Practice address
7239 STATE ROAD 52, BAYONET POINT, FL 34667
(727) 697-1090
(727) 697-1074
Mailing address
7239 STATE ROAD 52, BAYONET POINT, FL 34667-6710
(954) 822-1341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20871
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028217100
—
FL
05
—
028217101
—
FL
01
—
2009160
PK
—
Enumeration date
06/21/2006
Last updated
07/21/2022
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