Generic Depot 2 Inc

NPI 1063634814 - Pharmacy - 333600000X

NPI Details
NPI 1063634814
Enumeration Date 05/02/2007
Last Updated 09/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN STEPHEN
Position PRESIDENT
Phone (954) 442-4429
Fax (954) 442-4429
Practice Location
1461 N PALM AVE
PEMBROKE PINES FL, 33026-3228, US
Phone (954) 442-4429
Fax (954) 442-4429
Business Location
1461 N PALM AVE
PEMBROKE PINES FL, 33026-3228, US
Phone
Fax
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Generic Depot 2 Inc NPI is 1063634814, taxonomy code is 333600000X Generic Depot 2 Inc physically located at 1461 N Palm Ave, Pembroke Pines FL, 33026-3228. NPI Number 1033115704 has the healthcare provider type.

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1063634814 NPI number is provided on an as is basis without warranty of any kind. 1063634814 is maintained by the National Plan & Provider Enumeration System. The contents of Generic Depot 2 Inc are for informational purposes only.