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Organization

YOUR FRIENDLY PHARMACY INC

Active
Other names
Your Friendly Pharmacy, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
LANA WISEBERG (PRESIDENT/OWNER)
(954) 420-5273
Entity
Organization

Contact information

Practice address
458 W HILLSBORO BLVD, 458 B, DEERFIELD BEACH, FL 33441-1604
(954) 420-5273
(954) 420-5276
Mailing address
458 W HILLSBORO BLVD, 458 B, DEERFIELD BEACH, FL 33441-1604
(954) 420-5273
(954) 420-5276

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24627
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5703067
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
12/10/2010
Last updated
03/28/2011
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