Organization
DAVIE ROAD PHARMACY INC
Active
Other names
Davie Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
Z SOTO (MANAGING MEMBER)
(954) 791-0161
Entity
Organization
Contact information
Practice address
6477 STIRLING RD, DAVIE, FL 33314-7126
(954) 791-0161
(954) 791-8468
Mailing address
6477 STIRLING RD, DAVIE, FL 33314-7126
(954) 791-0161
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135850
PK
—
Enumeration date
07/09/2012
Last updated
03/30/2016
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