Organization
DELRAY SHORES PHARMACY INC
Active
Organization
DELRAY SHORES PHARMACY INC
Active
Other names
DELRAY SHORES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DILDINE PHARMD (PRESIDENT, PIC)
(561) 272-2124
Entity
Organization
Contact information
Practice address
124 NE 5TH AVE, DELRAY BEACH, FL 33483
(561) 272-2124
(561) 272-2830
Mailing address
124 NE 5TH AVE, DELRAY BEACH, FL 33483-5429
(561) 272-2124
(561) 272-2830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH6174
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103438300
—
FL
01
—
2009655
PK
—
Enumeration date
11/03/2006
Last updated
11/24/2020
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