| Broward County Health Dept Srhc Pharmacy | |
|
4105 Pembroke Rd Hollywood FL 33021-8103 | |
| (954) 985-4861 | |
| (954) 985-4828 |
| Full Name | Broward County Health Dept Srhc Pharmacy |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 4105 Pembroke Rd, Hollywood, Florida |
| Authorized Official Name and Position | Paula M Thaqi (DIRECTOR) |
| Authorized Official Contact | 9544674811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward County Health Dept Srhc Pharmacy 4105 Pembroke Rd Suite C107 Hollywood FL 33021-8103 Ph: (954) 985-4861 | Broward County Health Dept Srhc Pharmacy 4105 Pembroke Rd Hollywood FL 33021-8103 Ph: (954) 985-4861 |
| NPI Number | 1851436398 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851436398 | NPI | - | NPPES |
| 109974406 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | PH11860 (Florida) | Primary |
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