Provider Demographics
NPI:1982865192
Name:ROSSY MEDICAL INC
Entity Type:Organization
Organization Name:ROSSY MEDICAL INC
Other - Org Name:HEALTH CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:UKENENYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-942-7891
Mailing Address - Street 1:6360 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1216
Mailing Address - Country:US
Mailing Address - Phone:954-302-2337
Mailing Address - Fax:954-357-0576
Practice Address - Street 1:6360 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-1216
Practice Address - Country:US
Practice Address - Phone:954-302-2337
Practice Address - Fax:954-357-0576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH234163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1037743OtherNCPDP PROVIDER IDENTIFICATION NUMBER