Organization
PROXYCARE INC
Active
Other names
PROXYCARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ALBERTO CRUZ (CEO)
(954) 791-5400
Entity
Organization
Contact information
Practice address
747 SHOTGUN ROAD, SUNRISE, FL 33326-1934
(954) 791-5400
(954) 791-5100
Mailing address
747 SHOTGUN ROAD, SUNRISE, FL 33326-1934
(954) 791-5400
(954) 791-5100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PH12946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022228300
—
FL
01
—
2011819
PK
—
Enumeration date
06/22/2006
Last updated
09/09/2019
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