Healthcare Provider Details

I. General information

NPI: 1720634801
Provider Name (Legal Business Name): BEST ORGANIC PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 W STATE ROAD 84 STE 113
FORT LAUDERDALE FL
33312-4810
US

IV. Provider business mailing address

2860 W STATE ROAD 84 STE 113
FORT LAUDERDALE FL
33312-4810
US

V. Phone/Fax

Practice location:
  • Phone: 954-947-5009
  • Fax:
Mailing address:
  • Phone: 954-947-5009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HOWARD TIRADO
Title or Position: OWNER/MANAGER
Credential:
Phone: 954-947-5009