Provider Demographics
NPI:1003123894
Name:CND4,INC
Entity Type:Organization
Organization Name:CND4,INC
Other - Org Name:CHEMISTS N DRUGGISTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIRAV
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-844-1191
Mailing Address - Street 1:3599 W WOOLBRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7243
Mailing Address - Country:US
Mailing Address - Phone:561-733-1100
Mailing Address - Fax:561-733-1104
Practice Address - Street 1:6083 SE FEDERAL HWY STE 107
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8104
Practice Address - Country:US
Practice Address - Phone:772-678-4000
Practice Address - Fax:772-678-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH248443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5701493OtherNCPDP PROVIDER IDENTIFICATION NUMBER