Healthcare Provider Details

I. General information

NPI: 1225163264
Provider Name (Legal Business Name): PREFERRED PRESCRIPTION PLAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 W SAMPLE RD BLDG 9 STE 1A
POMPANO BEACH FL
33073-3082
US

IV. Provider business mailing address

2201 W SAMPLE RD BLDG 9 STE 1A
POMPANO BEACH FL
33073-3082
US

V. Phone/Fax

Practice location:
  • Phone: 877-969-1230
  • Fax: 877-969-4990
Mailing address:
  • Phone: 877-969-1230
  • Fax: 877-969-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH14433
License Number StateFL

VIII. Authorized Official

Name: KEVIN SINGER
Title or Position: VICE-PRESIDENT
Credential:
Phone: 954-990-2204