Organization
PHARMCORE INC
Active
Other names
HALLANDALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADY KRUPNIKAS B.S. (PRESIDENT)
(954) 455-3822
Entity
Organization
Contact information
Practice address
1109 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4431
(954) 455-3822
(954) 455-3835
Mailing address
1109 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4431
(877) 540-4748
(801) 716-4824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH19163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026012600
—
FL
05
—
026012601
—
FL
01
—
2015453
PK
—
Enumeration date
06/09/2006
Last updated
09/13/2013
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