Provider Demographics
NPI:1922892447
Name:INJURED RESPONSE PHARMACY LLC
Entity type:Organization
Organization Name:INJURED RESPONSE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-868-1084
Mailing Address - Street 1:37 E ACRE DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2640
Mailing Address - Country:US
Mailing Address - Phone:800-660-1477
Mailing Address - Fax:954-585-4912
Practice Address - Street 1:37 E ACRE DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2640
Practice Address - Country:US
Practice Address - Phone:800-660-1477
Practice Address - Fax:954-585-4912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH35682OtherBOARD OF PHARMACY LICENSE