Provider Demographics
NPI:1851602205
Name:PRESCRIPTIONS BY MAIL LLC
Entity Type:Organization
Organization Name:PRESCRIPTIONS BY MAIL LLC
Other - Org Name:PRESCRIPTIONS BY MAIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-721-4900
Mailing Address - Street 1:3579 NORTHLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1625
Mailing Address - Country:US
Mailing Address - Phone:561-721-4900
Mailing Address - Fax:561-721-4901
Practice Address - Street 1:3579 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1625
Practice Address - Country:US
Practice Address - Phone:561-721-4900
Practice Address - Fax:561-721-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH244213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5700516OtherNCPDP PROVIDER IDENTIFICATION NUMBER