Memorial Regional Hospital South Pharmacy

LBN: South Broward Hospital District
Memorial Regional Hospital South Pharmacy is an health care organization with primary practice located at 777 S Douglas Rd , Pembroke Pines FL 33025-1353. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. South Broward Hospital District can be contacted via phone (954) 518-5670, or through Carpenter, Leah via phone (954) 265-2995.

Contact Information

Primary practice address
777 S Douglas Rd Pembroke Pines FL 33025-1353
Fax: (954) 581-2185
Website:
Authorized official contact:
Name: Carpenter, Leah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1386988806
LBN Legal business name South Broward Hospital District
DBA Doing business as Memorial Regional Hospital South Pharmacy
Authorized official Carpenter, Leah
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2012
Last updated Feb 6th, 2024 - about 10 months 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 1386988806 NPPES
Other 2010154 PK
MEDICAID 103709900 PK

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