| NPI | 1356581243 |
|---|---|
| Doing Business As | SAMPLE SQUARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BHARAT PATEL Phcy Mgr / President 954-785-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23936) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2010-10-19 |