Organization
MD OMEGA PHARMACY INC
Active
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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