Organization
RX PRO PHARMACY & COMPOUNDING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JASON RUTLAND PHARM.D. (PRESIDENT)
(601) 218-0005
Entity
Organization
Contact information
Practice address
936 W HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5241
(954) 455-0004
Mailing address
1485 LIVINGSTON LN, JACKSON, MS 39213-8004
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH26011
FL
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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