Organization
EZ CARE PHARMACY, INC
Active
Other names
Ez Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARTUR KRASNOPOLSKIY (PRESIDENT)
(954) 981-0614
Entity
Organization
Contact information
Practice address
3353 SHERIDAN ST STE D, HOLLYWOOD, FL 33021-3632
(954) 981-0614
(954) 981-0663
Mailing address
3353 SHERIDAN ST STE D, HOLLYWOOD, FL 33021-3632
(954) 981-0614
(954) 981-0663
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH25248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5712888
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/24/2012
Last updated
12/24/2012
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