Organization
TAMARAC PHARMACY LLC
Active
Other names
TAMARAC PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MITESH PATEL (AUTHORIZED PERSON)
(954) 586-4546
Entity
Organization
Contact information
Practice address
7120 N NOB HILL RD, TAMARAC, FL 33321-1841
(954) 586-4546
(954) 586-4004
Mailing address
7120 N NOB HILL RD, TAMARAC, FL 33321-1841
(954) 586-4546
(954) 586-4004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28905
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153020
PK
—
Enumeration date
07/13/2015
Last updated
11/30/2022
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