Park Shore Drug Inc
LBN: Park Shore Drug Inc
Park Shore Drug Inc is an health care organization with primary practice located at 600 Ansin Blvd , Hallandale Beach FL 33009-2118. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PH13376 | Florida |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PH13376 | Florida |
Profile Details
| NPI number | 1982653523 |
|---|---|
| LBN Legal business name | Park Shore Drug Inc |
| DBA Doing business as | |
| Authorized official | Gillis, Robert D R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982653523 | NPPES |
| Florida | MEDICAID | 018477700 | |
| Florida | Other | P1723B | |
| Florida | Other | 018477701 | |
| Florida | MEDICAID | 018614500 | |
| Florida | Other | 1011915 |
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