Organization
GENERIC PHARMACY INC
Active
Other names
Generic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ROBERTO SOARES (OWNER)
(954) 933-7012
Entity
Organization
Contact information
Practice address
930 E SAMPLE RD, POMPANO BEACH, FL 33064-5131
(954) 933-7012
(954) 933-7486
Mailing address
930 E SAMPLE RD, POMPANO BEACH, FL 33064-5131
(954) 933-7012
(954) 933-7486
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158871
PK
—
Enumeration date
02/23/2016
Last updated
03/21/2023
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