Provider Demographics
NPI:1346787082
Name:THE PRESCRITPTION PLACE INC
Entity Type:Organization
Organization Name:THE PRESCRITPTION PLACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-270-5490
Mailing Address - Street 1:110 E BROWARD BLVD
Mailing Address - Street 2:SUITE 1736
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3503
Mailing Address - Country:US
Mailing Address - Phone:954-314-7689
Mailing Address - Fax:
Practice Address - Street 1:110 E BROWARD BLVD
Practice Address - Street 2:SUITE 1736
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3503
Practice Address - Country:US
Practice Address - Phone:954-314-7689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment