Phytogenics Specialty Pharmacy

LBN: Phytogenics Llc
Phytogenics Specialty Pharmacy is an health care organization with primary practice located at 4501 Nw 31St Ave , Oakland Park FL 33309-3403. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy, Suppliers / Medical Foods Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Phytogenics Llc can be contacted via phone (954) 612-5831, or through Moliere, Joelle M via phone (954) 612-5831.

Contact Information

Primary practice address
4501 Nw 31St Ave Oakland Park FL 33309-3403
Phone: (954) 612-5831
Fax: (800) 532-0764
Website:
Map and Directions
Authorized official contact:
Name: Moliere, Joelle M RPH MPH
Phone: (954) 612-5831

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH23251 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Managed Care Organization Pharmacy 3336M0003X
Suppliers / Specialty Pharmacy 3336S0011X
Suppliers / Medical Foods Supplier 335G00000X

Profile Details

NPI number 1356508980
LBN Legal business name Phytogenics Llc
DBA Doing business as Phytogenics Specialty Pharmacy
Authorized official Moliere, Joelle M RPH MPH
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated Dec 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356508980 NPPES
Other 2011517 PK

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