Healthcare Provider Details
I. General information
NPI: 1346906732
Provider Name (Legal Business Name): FOUNDCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2021
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5867 OKEECHOBEE BLVD
WEST PALM BEACH FL
33417-4344
US
IV. Provider business mailing address
2330 S CONGRESS AVE
WEST PALM BEACH FL
33406-7608
US
V. Phone/Fax
- Phone: 561-432-5849
- Fax:
- Phone: 561-432-5849
- Fax: 561-432-9732
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
FRANCIS
IRIZARRY
Title or Position: CEO
Credential:
Phone: 561-432-7901