Provider Demographics
NPI:1184941247
Name:SOFKO LLC
Entity type:Organization
Organization Name:SOFKO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROGARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-699-7116
Mailing Address - Street 1:4900 LINTON BLVD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6688
Mailing Address - Country:US
Mailing Address - Phone:561-921-2025
Mailing Address - Fax:561-921-2026
Practice Address - Street 1:4900 LINTON BLVD
Practice Address - Street 2:SUITE 24
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6688
Practice Address - Country:US
Practice Address - Phone:561-921-2025
Practice Address - Fax:561-921-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH246153336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy