Organization
SPORTPHARM,INC.
Active
Organization
SPORTPHARM,INC.
Active
Other names
Sportpharm
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WELCH PHARMD (PRESIDENT)
(954) 355-9030
Entity
Organization
Contact information
Practice address
7061 CYPRESS RD STE 104, PLANTATION, FL 33317-2243
(954) 999-5809
Mailing address
7061 CYPRESS RD STE 104, PLANTATION, FL 33317-2243
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
06/10/2026
Last updated
08/04/2026
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