| NPI | 1801720289 |
|---|---|
| Doing Business As | SPORTPHARM |
| Entity Type | Organization |
| Authorized Contact | BRANDON WELCH President 954-355-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-08-04 |