Provider Demographics
NPI:1871769042
Name:PHARMACY XPRESS OF FL ,III,LLC.
Entity type:Organization
Organization Name:PHARMACY XPRESS OF FL ,III,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PRECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-267-1650
Mailing Address - Street 1:1523 E COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5717
Mailing Address - Country:US
Mailing Address - Phone:954-267-1650
Mailing Address - Fax:954-267-1656
Practice Address - Street 1:1523 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-5717
Practice Address - Country:US
Practice Address - Phone:954-267-1650
Practice Address - Fax:954-267-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy