Provider Demographics
NPI:1063689099
Name:PHARMACY HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:PHARMACY HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:561-827-6000
Mailing Address - Street 1:12421 LAKERIDGE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6310
Mailing Address - Country:US
Mailing Address - Phone:561-827-6000
Mailing Address - Fax:561-740-9885
Practice Address - Street 1:12421 LAKERIDGE FALLS DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6310
Practice Address - Country:US
Practice Address - Phone:561-827-6000
Practice Address - Fax:561-740-9885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU 3386261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty