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NPI Code Detail

MEDICARE: LINGS HLTHMT PHCY AND WELLNESS CTR

MEDICARE: LINGS HLTHMT PHCY AND WELLNESS CTR
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
13336C0004XCompounding Pharmacy
23336S0011XSpecialty Pharmacy
33336C0003XCommunity/Retail PharmacyPH22609FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11025332OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
21025332OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1114046729
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINGS HLTHMT PHCY AND WELLNESS CTR
Provider Business Mailing Address
First Line : 8608 GRIFFIN RD
Second Line :
City : COOPER CITY
State : FL
Zip : 33328-3719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8608 GRIFFIN RD
Second Line :
City : COOPER CITY
State : FL
Zip : 33328-3719
Country : US
Telephone Number : 954-252-9450
Fax Number : 954-252-8450
Authorized Official
Title or Position : PRESIDENT
Name : HUSTON POWELL
Credential : PHRMD
Telephone Number : 954-252-9450
Provider Enumeration Date : 03/28/2007
Last Update Date : 03/31/2008

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Directions to “LINGS HLTHMT PHCY AND WELLNESS CTR ” Practice Location

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