Organization
GOODMAN DRUGS OF FL CORP
Active
Other names
PS Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
SHERINE BAHNA PHARM. D. (OWNER)
(954) 637-8855
Entity
Organization
Contact information
Practice address
1234 NE 4TH AVENUE, SUITE C, FORT LAUDERDALE, FL 33304
(954) 764-6257
(954) 764-3175
Mailing address
1078 S POWERLINE ROAD, DEERFIELD BEACH, FL 33442
(954) 637-8855
(855) 315-7478
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH 12431
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009922
NABP
FL
05
—
1022181-00
—
FL
01
—
1070882
NABP
FL
Enumeration date
03/02/2007
Last updated
11/22/2016
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