MEDICARE: MAX DRUGS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH17161	FL

General Provider Information

NPI Number	:	1619977535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX DRUGS INC

Provider Business Mailing Address
First Line	:	4519 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6611
Country	:	US
Telephone Number	:	954-987-4125
Fax Number	:	954-987-4089

Provider Business Practice Location Address
First Line	:	4519 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6611
Country	:	US
Telephone Number	:	954-987-4125
Fax Number	:	954-987-4089

Authorized Official
Title or Position	:	DIR
Name	:	ZACHARY M EISENMAN
Credential	:	RPH
Telephone Number	:	954-987-4125

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/22/2020

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Directions to “MAX DRUGS INC ” Practice Location

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