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NPI Code Detail

MEDICARE: A C NATIONAL PHARMACY , INC

MEDICARE: A C NATIONAL PHARMACY , INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyPH22974FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11029897OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1346438678
Entity Type Code : Organization
Provider Name (Legal Business Name) : A C NATIONAL PHARMACY , INC
Provider Business Mailing Address
First Line : 896B N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4316
Country : US
Telephone Number : 954-582-1293
Fax Number : 954-582-1294
Provider Business Practice Location Address
First Line : 896B N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4316
Country : US
Telephone Number : 954-582-1293
Fax Number : 954-582-1294
Authorized Official
Title or Position : VP
Name : ERICH CORDERO
Credential :
Telephone Number : 954-582-1293
Provider Enumeration Date : 10/11/2007
Last Update Date : 07/26/2010

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Directions to “A C NATIONAL PHARMACY , INC ” Practice Location

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