Healthcare Provider Details

I. General information

NPI: 1942511043
Provider Name (Legal Business Name): ALLZ WELL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 03/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 E OAKLAND PARK BLVD
OAKLAND PARK FL
33334-2752
US

IV. Provider business mailing address

821 E OAKLAND PARK BLVD
OAKLAND PARK FL
33334-2752
US

V. Phone/Fax

Practice location:
  • Phone: 954-769-1098
  • Fax: 954-769-1169
Mailing address:
  • Phone: 954-769-1098
  • Fax: 954-769-1169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24733
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WENDELL LOCKE
Title or Position: MANAGING MEMBER
Credential:
Phone: 954-769-1098