MEDICARE: FRONTLINE RX PHARMACY 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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1942152459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTLINE RX PHARMACY LLC

Provider Business Mailing Address
First Line	:	7332 NW 5TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1605
Country	:	US
Telephone Number	:	800-539-1788
Fax Number	:	833-637-2587

Provider Business Practice Location Address
First Line	:	7332 NW 5TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1605
Country	:	US
Telephone Number	:	800-539-1788
Fax Number	:	833-637-2587

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL ANTHONY SURO
Credential	:
Telephone Number	:	954-363-0228

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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