Organization
HYBRID PHARMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PONSWAMY RAJALINGAM (PRESIDENT)
(954) 708-2771
Entity
Organization
Contact information
Practice address
1015 W NEWPORT CENTER DR STE 106A, DEERFIELD BEACH, FL 33442-7707
(954) 708-2771
(561) 542-6791
Mailing address
1015 W NEWPORT CENTER DR STE 106A, DEERFIELD BEACH, FL 33442-7707
(954) 708-2771
(561) 542-6791
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH26436
FL
Other
Enumeration date
10/22/2012
Last updated
04/21/2015
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