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PDI PHARMACY SERVICES, INC.

Company Details

Entity Name: PDI PHARMACY SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Mar 1999 (26 years ago)
Document Number: P99000023999
FEI/EIN Number 650902543
Address: 6405 CONGRESS AVE, STE 140, BOCA RATON, FL, 33487
Mail Address: C/O BOCA PHARMACY, 22191 POWERLINE RD 22C, BOCA RATON, FL, 33433
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336178243 2006-07-02 2020-08-22 6405 CONGRESS AVE., SUITE 140, BOCA RATON, FL, 334872861, US 6405 CONGRESS AVE., SUITE 140, BOCA RATON, FL, 334872861, US

Contacts

Phone +1 561-997-0330
Fax 5619972017

Authorized person

Name MR. NORBERT GRABER
Role PRESIDENT
Phone 5619970330

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary No
Taxonomy Code 3336H0001X - Home Infusion Therapy Pharmacy
Is Primary No
Taxonomy Code 3336S0011X - Specialty Pharmacy
Is Primary No

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number R9510
State FL
Issuer BLUE CROSS BLUE SHIELD
Number P7843
State FL

Agent

Name Role Address
GRABER NORBERT Agent 22191 POWERLINE RD, BOCA RATON, FL, 33433

Director

Name Role Address
GRABER NORBERT Director 7138 MARIANA COURT, BOCA RATON, FL, 33433
ABADY SALVADOR Director 22262 HOLLYHOCK TRAIL, BOCA RATON, FL, 33433

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State