Organization
PRIDE PHARMACY INC
Active
Other names
Pride Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LEVIN (MANAGER)
(954) 854-9200
Entity
Organization
Contact information
Practice address
1421 E OAKLAND PARK BLVD, STE 100, OAKLAND PARK, FL 33334-4434
(954) 390-0916
(954) 390-0918
Mailing address
1421 E OAKLAND PARK BLVD, STE 100, OAKLAND PARK, FL 33334-4434
(954) 390-0916
(954) 390-0918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118010
PK
—
Enumeration date
06/04/2008
Last updated
12/02/2016
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