Organization
CHARLES PLAZA PHARMACY INC
Active
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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