Northlake Pharmacy

LBN: Northlake Pharmacy Llc
Northlake Pharmacy is an health care organization with primary practice located at 9091 N Military Trl Ste 17 , Palm Beach Gardens FL 33410-5983. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Northlake Pharmacy Llc can be contacted via phone (561) 619-9900, or through Soufan, Salim via phone (561) 562-2610.

Contact Information

Primary practice address
9091 N Military Trl Ste 17 Palm Beach Gardens FL 33410-5983
Phone: (561) 619-9900
Fax: (561) 619-9902
Website:
Map and Directions
Authorized official contact:
Name: Soufan, Salim RPH
Phone: (561) 562-2610

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH30206 Florida

Profile Details

NPI number 1053762260
LBN Legal business name Northlake Pharmacy Llc
DBA Doing business as Northlake Pharmacy
Authorized official Soufan, Salim RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2016
Last updated Mar 14th, 2017 - about 7 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 1053762260 NPPES
Florida MEDICAID 018799700
Florida Other 2160865

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