Provider Demographics
NPI:1881779452
Name:MAX DRUGS INC
Entity type:Organization
Organization Name:MAX DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SAM
Authorized Official - Last Name:EISENMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:954-987-4125
Mailing Address - Street 1:4343 S STATE ROAD 7 STE 107
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-4009
Mailing Address - Country:US
Mailing Address - Phone:954-987-4125
Mailing Address - Fax:954-987-8049
Practice Address - Street 1:4343 S STATE ROAD 7 STE 107
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-4009
Practice Address - Country:US
Practice Address - Phone:954-987-4125
Practice Address - Fax:954-987-8049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL026962000Medicaid
FL5301890001Medicare NSC