MEDICARE: DR G'S PHARMACY, 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	3336C0003X	Community/Retail Pharmacy	PH-18448	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972639813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR G'S PHARMACY, INC

Provider Business Mailing Address
First Line	:	5975 N FEDERAL HIGHWAY, SUITE 108
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	954-938-0005
Fax Number	:	954-938-3669

Provider Business Practice Location Address
First Line	:	5975 N FEDERAL HIGHWAY, SUITE 108
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	954-938-0005
Fax Number	:	954-938-3669

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GENEEN GRABER MAXWELL
Credential	:	PHARMD
Telephone Number	:	954-938-0005

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	03/20/2026

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Directions to “DR G'S PHARMACY, INC ” Practice Location

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