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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up