Provider Demographics
NPI:1518168608
Name:MANAGED HEALTHCARE SYSTEMS, INC
Entity Type:Organization
Organization Name:MANAGED HEALTHCARE SYSTEMS, INC
Other - Org Name:PHARMACY SERVICES GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:
Authorized Official - Last Name:YACOUB
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:800-851-1000
Mailing Address - Street 1:6301 NW 5TH WAY
Mailing Address - Street 2:SUITE 5010
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6131
Mailing Address - Country:US
Mailing Address - Phone:800-851-1000
Mailing Address - Fax:
Practice Address - Street 1:6301 NW 5TH WAY
Practice Address - Street 2:SUITE 5010
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6131
Practice Address - Country:US
Practice Address - Phone:800-851-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH136383336C0003X, 3336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336M0002XSuppliersPharmacyMail Order Pharmacy