Healthcare Provider Details

I. General information

NPI: 1740912864
Provider Name (Legal Business Name): POMP RX PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E ATLANTIC BLVD STE 5
POMPANO BEACH FL
33060-7371
US

IV. Provider business mailing address

2812 W. MLK JR BLVD
TAMPA FL
33607
US

V. Phone/Fax

Practice location:
  • Phone: 954-943-3111
  • Fax: 954-782-6685
Mailing address:
  • Phone: 813-328-3970
  • Fax:

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: HARDIKKUMAR PATEL
Title or Position: OWNER
Credential:
Phone: 973-362-6086