Organization
DAVE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKHI DAVE (MANAGER)
(954) 263-1514
Entity
Organization
Contact information
Practice address
1313 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33426-3436
(954) 263-1514
Mailing address
5902 ABBEY RD, TAMARAC, FL 33321-4110
(954) 263-1514
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH24540
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH24540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055107
NCPDP
—
01
—
PH24540
STATE LICENSE
FL
Enumeration date
03/26/2010
Last updated
03/30/2010
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