Organization
PHARMACY DOCTORS ENTERPRISES INC
Active
Other names
Zion Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA TARAN (PIC)
(954) 367-5365
Entity
Organization
Contact information
Practice address
205 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5524
(954) 367-5365
(954) 367-5366
Mailing address
205 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23558
FL
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038303
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/27/2008
Last updated
10/20/2008
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