MEDICARE: PHARMACY XPRESS OF FL ,III,LLC.

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1871769042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY XPRESS OF FL ,III,LLC.

Provider Business Mailing Address
First Line	:	1523 E COMMERCIAL BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-5717
Country	:	US
Telephone Number	:	954-267-1650
Fax Number	:	954-267-1656

Provider Business Practice Location Address
First Line	:	1523 E COMMERCIAL BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-5717
Country	:	US
Telephone Number	:	954-267-1650
Fax Number	:	954-267-1656

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH PRECHTER
Credential	:
Telephone Number	:	954-267-1650

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	08/29/2011

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