Organization
WALDRUG LLC
Active
Organization
WALDRUG LLC
Active
Other names
MedFlorida Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANA OCHOA (OWNER)
(561) 444-8399
Entity
Organization
Contact information
Practice address
3387 S JOG RD, GREENACRES, FL 33467-2010
(561) 444-8399
(561) 653-1056
Mailing address
PO BOX 4189, DEERFIELD BEACH, FL 33442-4189
(561) 444-8399
(561) 429-8115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109478000
—
FL
01
—
2175717
PK
—
Enumeration date
05/11/2017
Last updated
06/14/2021
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