Organization
NORTHLAKE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL O CONNOR (MANAGER)
(561) 531-1574
Entity
Organization
Contact information
Practice address
9091 N MILITARY TRL STE 17, PALM BEACH GARDENS, FL 33410-5983
(561) 619-9900
(561) 619-9902
Mailing address
9091 N MILITARY TRL STE 17, PALM BEACH GARDENS, FL 33410-5983
(561) 619-9900
(561) 619-9902
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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