Memorial Hallandale Pharmacy

LBN: South Broward Hospital District
Memorial Hallandale Pharmacy is an health care organization with primary practice located at 1750 E Hallandale Beach Blvd Suite A, Hallandale Beach FL 33009-4611. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. South Broward Hospital District can be contacted via phone (954) 276-9800, or through Hetlage, Leah via phone (954) 265-2995.

Contact Information

Primary practice address
1750 E Hallandale Beach Blvd Suite A Hallandale Beach FL 33009-4611
Phone: (954) 276-9800
Fax: (954) 456-2680
Website:
Map and Directions
Authorized official contact:
Name: Hetlage, Leah
Phone: (954) 265-2995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH24363 Florida

Profile Details

NPI number 1275864670
LBN Legal business name South Broward Hospital District
DBA Doing business as Memorial Hallandale Pharmacy
Authorized official Hetlage, Leah
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2010
Last updated Oct 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275864670 NPPES
Florida MEDICAID 004668200
Florida Other 2123984

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