Memorial Regional Outpatient Pharmacy

LBN: South Broward Hospital District
Memorial Regional Outpatient Pharmacy is an health care organization with primary practice located at 1150 N 35Th Ave Suite 105, Hollywood FL 33021. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. South Broward Hospital District can be contacted via phone (954) 265-1299, or through Carpenter, Leah via phone (954) 276-1777.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 105 Hollywood FL 33021
Phone: (954) 265-1299
Fax: (954) 276-0292
Website:
Map and Directions
Authorized official contact:
Name: Carpenter, Leah
Phone: (954) 276-1777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH8171 Florida
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1144360991
LBN Legal business name South Broward Hospital District
DBA Doing business as Memorial Regional Outpatient Pharmacy
Authorized official Carpenter, Leah
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 15th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144360991 NPPES
Florida MEDICAID 0046674-00
Florida MEDICAID 0046674-01
Florida Other 2010548

Popular Providers