NPI | 1356508980 |
---|---|
Doing Business As | PHYTOGENICS SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | JOELLE M MOLIERE CEO/PIC 954-612-5831 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23251) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
335G00000X Medical Foods Supplier | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2020-12-28 |