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Organization

PATRIOT DISCOUNT PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONNIE HALFACRE (D)
(561) 734-2002
Entity
Organization

Contact information

Practice address
10071 PINES BLVD, UNIT D, PEMBROKE PINES, FL 33024-6181
(561) 734-2022
Mailing address
10071 PINES BLVD, UNIT D, PEMBROKE PINES, FL 33024-6181
(561) 734-2022

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25041
FL

Other

Enumeration date
11/22/2010
Last updated
11/22/2010
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