Organization
WHITE ORCHID PHARMACY INC
Active
Other names
LibraSun Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARKO JARIC (OWNER)
(954) 404-7542
Entity
Organization
Contact information
Practice address
2328B HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-6703
(954) 404-7533
(954) 404-7536
Mailing address
2328B HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-6703
(954) 404-7533
(954) 404-7536
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019746000
—
FL
01
—
2120052
PK
—
Enumeration date
03/21/2019
Last updated
03/21/2019
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