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NPI Code Detail

MEDICARE: TOWN DRUG OF HOLLYWOOD, INC

MEDICARE: TOWN DRUG OF HOLLYWOOD, 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
1333600000XPharmacyPH000451FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11011737OTHERN.A.B.P #

General Provider Information

NPI Number : 1801899356
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWN DRUG OF HOLLYWOOD, INC
Provider Business Mailing Address
First Line : 2730 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4808
Country : US
Telephone Number : 954-921-8696
Fax Number : 954-921-6559
Provider Business Practice Location Address
First Line : 2730 HOLLYWOOD BLVD
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4808
Country : US
Telephone Number : 954-921-8696
Fax Number : 954-921-6559
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAMES LOPILATO
Credential :
Telephone Number : 954-921-8696
Provider Enumeration Date : 05/28/2005
Last Update Date : 08/22/2020

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Directions to “TOWN DRUG OF HOLLYWOOD, INC ” Practice Location

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