| NPI | 1902847866 |
|---|---|
| Doing Business As | HALLANDALE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GENNADY KRUPNIKAS President 954-455-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH19163) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-09-13 |