Organization · Type 2 NPI

Provider Services of America, LLC

Non-Pharmacy Dispensing Site · Boca Raton, FL

NPI number 1689022147 Active

Practice location

2385 NW Executive Center Dr, Suite 100
Boca Raton, FL 33431-8579

Call (561) 463-8102 Map

Fax (561) 331-2707

Mailing address

PO Box 812140
Boca Raton, FL 33481-2140

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1689022147

Provider Services of America, LLC's National Provider Identifier is 1689022147, issued on May 25, 2016. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Boca Raton, FL. The record was last updated on May 26, 2016.