Organization
BOCA DRUGS INC
Active
Other names
Boca Drugs Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOUISE DESIMONE (PHARMACY MGR/ OWNER)
(954) 298-1961
Entity
Organization
Contact information
Practice address
156 NW 20TH ST, BOCA RATON, FL 33431-7949
(561) 395-8663
(561) 395-8664
Mailing address
156 NW 20TH ST, BOCA RATON, FL 33431-7949
(561) 395-8663
(561) 395-8664
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707697
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/04/2011
Last updated
10/04/2011
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