Healthcare Provider Details
I. General information
NPI: 1801967559
Provider Name (Legal Business Name): BUDGET HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 E HALLANDALE BCH BLVD
HALLANDALE FL
33009
US
IV. Provider business mailing address
2500 E HALLANDALE BEACH BLVD STE P
HALLANDALE BEACH FL
33009-4833
US
V. Phone/Fax
- Phone: 954-457-8011
- Fax: 954-457-7164
- Phone: 954-457-8011
- Fax: 954-457-7164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH14005 |
| License Number State | FL |
VIII. Authorized Official
Name: MR.
SCOTT
R
HENKIN
Title or Position: PRESIDENT
Credential:
Phone: 954-457-8011