Healthcare Provider Details
I. General information
NPI: 1225328131
Provider Name (Legal Business Name): RHEUMATOLOGY PHARMACY DISTRIBUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2011
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1515 N FLAGLER DR SUITE 620
WEST PALM BEACH FL
33401-3428
US
IV. Provider business mailing address
1515 N FLAGLER DR SUITE 620
WEST PALM BEACH FL
33401-3428
US
V. Phone/Fax
- Phone: 855-366-6110
- Fax: 888-208-1097
- Phone: 855-366-6110
- Fax: 888-208-1097
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
CARL
SCHWEITZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 855-366-6110