MEDICARE: SAV A LOT PHARMACY LAUDERHILL 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	PH 22969

General Provider Information

NPI Number	:	1447342662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAV A LOT PHARMACY LAUDERHILL LLC

Provider Business Mailing Address
First Line	:	5540 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1412
Country	:	US
Telephone Number	:	954-731-1418
Fax Number	:	954-731-4291

Provider Business Practice Location Address
First Line	:	5540 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1412
Country	:	US
Telephone Number	:	954-731-1418
Fax Number	:	954-731-4291

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. AMAR PATEL
Credential	:
Telephone Number	:	954-733-4123

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	04/17/2008

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