MEDICARE: PHARMACY ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PH25941	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2134032	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023043684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMACY ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	6110 W ATLANTIC AVE
Second Line	:	UNIT C
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8405
Country	:	US
Telephone Number	:	561-499-7500
Fax Number	:	561-499-8776

Provider Business Practice Location Address
First Line	:	6110 W ATLANTIC AVE
Second Line	:	UNIT C
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8405
Country	:	US
Telephone Number	:	561-499-7500
Fax Number	:	561-499-8776

Authorized Official
Title or Position	:	OWNER
Name	:	BHARAT KANANI
Credential	:
Telephone Number	:	561-601-8680

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	05/07/2013

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