Park Shore Drug INC
NPI #1285724492 in Hallandale Beach, Florida
Provider Information
- NPI Number
- 1285724492
- Entity Type
- Organization
- Organization Name
- Park Shore Drug INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Jun 22, 2012
Practice Location
- Address
- 600 ANSIN BLVD
- City
- Hallandale Beach
- State
- Florida
- ZIP Code
- 33009-2118
- Phone
- (954) 874-4646
Authorized Official
- Name
- MR. ROBERT D GILLIS, R.PH.
- Title
- PRESIDENT
- Phone
- (954) 349-0369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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