MEDICARE: ANDREWS LABORATORIES & PHARMACEUTICALS

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	PH6493	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	R4816	OTHER	FL	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1054446	OTHER		NABP

General Provider Information

NPI Number	:	1871677625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREWS LABORATORIES & PHARMACEUTICALS

Provider Business Mailing Address
First Line	:	1637 NE 36TH STREET
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6279
Country	:	US
Telephone Number	:	954-942-0920
Fax Number	:	954-942-0921

Provider Business Practice Location Address
First Line	:	1637 NE 36TH STREET
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6279
Country	:	US
Telephone Number	:	954-942-0920
Fax Number	:	954-942-0921

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	MR. WILLIAM DAVID ANDREWS
Credential	:	RPH CPH
Telephone Number	:	954-942-0920

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	01/30/2017

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