Healthcare Provider Details

I. General information

NPI: 1851270797
Provider Name (Legal Business Name): YOUR RX PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 COUNTRY CLUB LN
HALLANDALE FL
33009-5118
US

IV. Provider business mailing address

3060 COUNTRY CLUB LN
HALLANDALE FL
33009-5118
US

V. Phone/Fax

Practice location:
  • Phone: 305-705-3247
  • Fax: 877-427-2307
Mailing address:
  • Phone: 305-705-3247
  • Fax: 877-427-2307

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: DAVID HOPKINS
Title or Position: MANAGER
Credential:
Phone: 281-703-4757