Organization
GUARDIAN PHARMACY OF SOUTHEAST FLORIDA LLC
Active
Other names
Guardian Pharmacy of Southeast Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN TRASTER (PRESIDENT)
(954) 601-2121
Entity
Organization
Contact information
Practice address
6100 BROKEN SOUND PKWY NW STE 1, BOCA RATON, FL 33487-2790
(954) 601-2121
(954) 601-2400
Mailing address
GUARDIAN PHARMACY OF SOUTHEAST FLORIDA DEPT 2355, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH22966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032158300
—
FL
01
—
2004166
PK
—
Enumeration date
12/14/2006
Last updated
06/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us