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Organization

EXCEL PHARMACY PARTNERS LLC

Active
Other names
Stat Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARC EISENMANN (MANAGER)
(201) 344-3691
Entity
Organization

Contact information

Practice address
6817 SOUTHPOINT PKWY STE 2204, JACKSONVILLE, FL 32216-8200
(904) 800-2285
(904) 813-7905
Mailing address
3350 SW 57TH PL, FORT LAUDERDALE, FL 33312-6369
(201) 344-3691

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102482400
FL
01
PH31118
PHARMACY LICENSE #
FL
Enumeration date
01/10/2018
Last updated
11/23/2022
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