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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1144360991 | NPPES |
| Florida | MEDICAID | 0046674-00 | |
| Florida | MEDICAID | 0046674-01 | |
| Florida | Other | 2010548 |
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