Provider Demographics
NPI:1568733228
Name:BRITON PHARMACY INC
Entity Type:Organization
Organization Name:BRITON PHARMACY INC
Other - Org Name:BRITON PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DYKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-942-1866
Mailing Address - Street 1:1201 S OCEAN BLVD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-6668
Mailing Address - Country:US
Mailing Address - Phone:954-942-1866
Mailing Address - Fax:866-709-4405
Practice Address - Street 1:1201 S OCEAN BLVD STE 14
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-6600
Practice Address - Country:US
Practice Address - Phone:954-942-1866
Practice Address - Fax:866-709-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH259003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5709019OtherNCPDP PROVIDER IDENTIFICATION NUMBER