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Organization

MD OMEGA PHARMACY INC

Active
Other names
MD OMEGA PHARMACY II
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROSA CASTRO (CO-OWNER SECRETARY)
(561) 547-7710
Entity
Organization

Contact information

Practice address
823 SOUTHERN BLVD, WEST PALM BEACH, FL 33405-2529
(561) 547-7710
(561) 547-7719
Mailing address
823 SOUTHERN BLVD, WEST PALM BEACH, FL 33405-2529
(561) 547-7710
(561) 547-7719

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032214800
FL
01
6078680001
MEDICARE ID #
FL
Enumeration date
01/08/2013
Last updated
01/09/2013
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