Provider Demographics
NPI:1477803682
Name:PHARMACY DOCTORS ENTERPRISES
Entity Type:Organization
Organization Name:PHARMACY DOCTORS ENTERPRISES
Other - Org Name:ZION CLINIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:954-367-5365
Mailing Address - Street 1:205 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5524
Mailing Address - Country:US
Mailing Address - Phone:954-367-5365
Mailing Address - Fax:954-367-5366
Practice Address - Street 1:205 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5524
Practice Address - Country:US
Practice Address - Phone:954-367-5365
Practice Address - Fax:954-367-5366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center