Healthcare Provider Details

I. General information

NPI: 1538063177
Provider Name (Legal Business Name): PROCOMP PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5430 NW 33RD AVE UNIT 5A
FT LAUDERDALE FL
33309-6349
US

IV. Provider business mailing address

5430 NW 33RD AVE UNIT 5A
FT LAUDERDALE FL
33309-6349
US

V. Phone/Fax

Practice location:
  • Phone: 888-897-5844
  • Fax:
Mailing address:
  • Phone: 888-897-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PARAG CHOKSI
Title or Position: VP
Credential: RPH
Phone: 210-618-3156