Organization
TEL-PHARMACY
Active
Other names
Tel-pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCELOT JAMES (CEO)
(954) 975-7112
Entity
Organization
Contact information
Practice address
5489 WILES RD STE 302, COCONUT CREEK, FL 33073-4220
(954) 975-7112
(954) 975-7113
Mailing address
5489 WILES RD STE 302, COCONUT CREEK, FL 33073-4220
(954) 975-7112
(954) 975-7113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH29813
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157828
PK
—
Enumeration date
02/03/2016
Last updated
02/03/2016
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