Organization
CHARLES PLAZA PHARMACY INC
Active
Other names
CHARLES PLAZA PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JATINKUMAR PATEL (PRESIDENT)
(561) 876-7247
Entity
Organization
Contact information
Practice address
5448 N UNIVERSITY DR, LAUDERHILL, FL 33351-5006
(954) 626-0626
(954) 626-0577
Mailing address
5448 N UNIVERSITY DR, LAUDERHILL, FL 33351-5006
(954) 626-0626
(954) 626-0577
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 24871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701708
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2010
Last updated
02/02/2011
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