Provider Demographics
NPI:1871677625
Name:ANDREWS LABORATORIES & PHARMACEUTICALS
Entity Type:Organization
Organization Name:ANDREWS LABORATORIES & PHARMACEUTICALS
Other - Org Name:DAVIDS PHARMACY & SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH CPH
Authorized Official - Phone:954-942-0920
Mailing Address - Street 1:1637 NE 36TH STREET
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6279
Mailing Address - Country:US
Mailing Address - Phone:954-942-0920
Mailing Address - Fax:954-942-0921
Practice Address - Street 1:1637 NE 36TH STREET
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6279
Practice Address - Country:US
Practice Address - Phone:954-942-0920
Practice Address - Fax:954-942-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH64933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103635100Medicaid
1054446OtherNABP
FLR4816OtherMEDICARE DME
FL103635100Medicaid