Organization Name: | AMERICAN PHARMACEUTICAL GROUP |
NPI Number: | 1205065190 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HIEN LE (PHARMACY MANAGER) |
Mailing Address: | 1430 Ne 26th St Wilton Manors |
State: | FL US |
Postal Code: | 333051322 |
Phone Number: | 9545333900 |
Fax Number: | 9545308769 |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | PH24087 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |