Prairiestone Pharmacy LLC

NPI #1508996497 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1508996497
Entity Type: Organization
Organization Name: Prairiestone Pharmacy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ARCADIA RESOURCES
Primary Specialty: Pharmacist
Enumeration Date: Mar 7, 2007
Last Updated: Jul 25, 2007

Practice Location

Address: 4101 RAVENSWOOD RD
Address 2: SUITE 105
City: Fort Lauderdale
State: Florida
ZIP Code: 33312-5373
Phone: (954) 797-7970

Authorized Official

Name: KARI HARMS
Title: THIRD PARTY ADMINISTRATOR
Phone: (763) 746-7764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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