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Organization

PRESCRIPTION HEADQUARTERS INC

Active
Other names
Prescription Headquarters, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
GARY BRESIN (PHARMACIST/OWNER)
(754) 200-5054
Entity
Organization

Contact information

Practice address
8320 W SUNRISE BLVD, SUITE 107, PLANTATION, FL 33322-5435
(754) 200-5054
(754) 200-8605
Mailing address
8320 W SUNRISE BLVD, SUITE 107, PLANTATION, FL 33322-5435
(754) 200-5054
(754) 200-8605

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PH26124
FL
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2135153
PK
Enumeration date
04/04/2012
Last updated
04/19/2013
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