Provider Demographics
NPI:1023043684
Name:PHARMACY ASSOCIATES LLC
Entity Type:Organization
Organization Name:PHARMACY ASSOCIATES LLC
Other - Org Name:APEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:KANANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-601-8680
Mailing Address - Street 1:6110 W ATLANTIC AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8405
Mailing Address - Country:US
Mailing Address - Phone:561-499-7500
Mailing Address - Fax:561-499-8776
Practice Address - Street 1:6110 W ATLANTIC AVE
Practice Address - Street 2:UNIT C
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8405
Practice Address - Country:US
Practice Address - Phone:561-499-7500
Practice Address - Fax:561-499-8776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH259413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134032OtherPK
FL004574900Medicaid
2134032OtherPK