| NPI | 1295037976 |
|---|---|
| Doing Business As | PATTERSON PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SYED SHAH President 954-288-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DC NRX0000846) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHNR001430) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 214001717) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05416) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA NP000629) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 64001534A) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2018-07-19 |