Organization
BOOTS LLC
Active
Other names
BAY AREA PHARMACY #05
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BANJOKO (CFO)
(212) 257-0225
Entity
Organization
Contact information
Practice address
450 NE 125TH ST, NORTH MIAMI, FL 33161-4754
(305) 677-1221
Mailing address
7326 ROYAL PALM BLVD, MARGATE, FL 33063-6804
(954) 317-3688
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100839300
—
FL
Enumeration date
11/21/2016
Last updated
07/30/2025
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