Healthcare Provider Details

I. General information

NPI: 1699887521
Provider Name (Legal Business Name): OSBORNE PHARM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 NW 70TH AVE STE 102
PLANTATION FL
33317-2385
US

IV. Provider business mailing address

333 NW 70TH AVE STE 102
PLANTATION FL
33317-2385
US

V. Phone/Fax

Practice location:
  • Phone: 954-791-2000
  • Fax: 954-791-2001
Mailing address:
  • Phone: 954-791-2000
  • Fax: 954-791-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH22193
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER OSBORNE
Title or Position: PRESIDENT
Credential: RPH
Phone: 954-791-2000