Organization
GENERIC DEPOT 2, INC.
Active
Other names
consumer savings center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN M SCHWARTZ (PRESIDENT)
(954) 442-4429
Entity
Organization
Contact information
Practice address
1461 N PALM AVE, PEMBROKE PINES, FL 33026-3228
(954) 442-4429
(954) 442-4442
Mailing address
1461 N PALM AVE, PEMBROKE PINES, FL 33026-3228
(954) 442-4429
(954) 442-4442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063634814
STORE
FL
01
—
1932195229
PERSONAL
FL
Enumeration date
06/21/2007
Last updated
08/22/2020
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