Organization
GOODMAN DRUGS OF FL CORP
Active
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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