Provider Demographics
NPI:1629473632
Name:HEALTH RESOURCES CONSULTANTS INC
Entity Type:Organization
Organization Name:HEALTH RESOURCES CONSULTANTS INC
Other - Org Name:HEALTHCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC, AO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:954-382-3359
Mailing Address - Street 1:6735 SUNSET STRIP
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-2849
Mailing Address - Country:US
Mailing Address - Phone:954-382-3359
Mailing Address - Fax:954-533-4671
Practice Address - Street 1:6735 SUNSET STRIP
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-2849
Practice Address - Country:US
Practice Address - Phone:954-382-3359
Practice Address - Fax:954-533-4671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-03
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH254223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003561600Medicaid
2152782OtherPK