Organization
THE BOCA APOTHECARY
Active
Other names
THE GLADES APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
WILFRED LUMB RPH (OWNER)
(561) 368-6161
Entity
Organization
Contact information
Practice address
5458 TOWN CENTER RD, STE 12, BOCA RATON, FL 33486-1089
(561) 368-6161
(561) 368-3081
Mailing address
5458 TOWN CENTER RD, STE 12, BOCA RATON, FL 33486-1089
(561) 368-6161
(561) 368-3081
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH11259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101217700
—
FL
01
—
1037870
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
10/21/2009
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