Park Shore Pharmacon

LBN: Park Shore Drug Inc
Park Shore Pharmacon is an health care organization with primary practice located at 600 Ansin Blvd , Hallandale Beach FL 33009-2118. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Park Shore Drug Inc can be contacted via phone (954) 874-4646, or through Gillis, Robert D via phone (954) 874-4646.

Contact Information

Primary practice address
600 Ansin Blvd Hallandale Beach FL 33009-2118
Phone: (954) 874-4646
Fax: (954) 455-1378
Website:
Map and Directions
Authorized official contact:
Name: Gillis, Robert D R.PH.
Phone: (954) 874-4646

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH13376 Florida

Profile Details

NPI number 1417043100
LBN Legal business name Park Shore Drug Inc
DBA Doing business as Park Shore Pharmacon
Authorized official Gillis, Robert D R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 21st, 2012 - about 12 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 1417043100 NPPES
Florida MEDICAID 671982198

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