Northlake Pharmacy Llc
Community/Retail Pharmacy
9091 N Military Trl Ste 17, Palm Beach Gardens
Florida, 33410-5983
561-619-9900 561-619-9902
Northlake Pharmacy Llc is not a DME supplier for medicare equipments and products.
Northlake Pharmacy Llc is a Community/Retail Pharmacy in Palm Beach Gardens, Florida. It is located at 9091 N Military Trl Ste 17, Palm Beach Gardens and it's customer support contact number is 561-619-9900. The authorized person of Northlake Pharmacy Llc is Salim Soufan, RPH who is Owner/pharmacist/ao of the pharmacy and his contact number is 561-562-2610. Active license number of Northlake Pharmacy Llc is PH30206 for Community/Retail Pharmacy in Florida.
Northlake Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Northlake Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Northlake Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 9091 N Military Trl Ste 17, Palm Beach Gardens, Florida, 33410-5983 |
| Phone: | 561-619-9900 |
| Fax: | 561-619-9902 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Salim Soufan |
| Credentials: | RPH |
| Position: | Owner/pharmacist/ao |
| Contact Number: | 561-562-2610 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1053762260 |
| NPI Enumeration Date: | 29 Jun, 2016 |
| NPI Last Update On: | 14 Mar, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northlake Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH30206 | Florida | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 018799700 | Medicaid | Florida | |
| 2160865 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9091 N Military Trl Ste 17, Palm Beach Gardens, Florida |
| Zip: | 33410-5983 |
| Phone Number: | 561-619-9900 |
| Fax Number: | 561-619-9902 |
Patients can reach Northlake Pharmacy Llc at
9091 N Military Trl Ste 17, Palm Beach Gardens, Florida or can
call on customer care at 561-619-9900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.