Provider Demographics
NPI:1558154732
Name:THE PHARMACY HUB 2 LLC
Entity type:Organization
Organization Name:THE PHARMACY HUB 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAINS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:954-895-9454
Mailing Address - Street 1:2750 BRIDGE WAY UNIT 180
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1655
Mailing Address - Country:US
Mailing Address - Phone:954-895-9454
Mailing Address - Fax:
Practice Address - Street 1:2750 BRIDGE WAY UNIT 180
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-1655
Practice Address - Country:US
Practice Address - Phone:954-895-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy