Organization
PHARMACY MEDICAL SERVICES INC
Active
Other names
PHARMACY MEDICAL SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE BASTO PHARMD (OWNER AND PRESIDENT)
(954) 581-7171
Entity
Organization
Contact information
Practice address
201 NW 70TH AVE, SUITE D-E, PLANTATION, FL 33317-2369
(954) 641-1448
(954) 641-1505
Mailing address
201 NW 70TH AVE, SUITE D-E, PLANTATION, FL 33317-2369
(954) 641-1448
(954) 641-1505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031254100
—
FL
01
—
2005742
PK
—
Enumeration date
06/21/2006
Last updated
03/16/2017
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