MEDICARE: APA PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PH28255	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2146483	OTHER		PK

General Provider Information

NPI Number	:	1306251798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APA PHARMACY

Provider Business Mailing Address
First Line	:	2282 SW 22ND ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3509
Country	:	US
Telephone Number	:	305-418-0759
Fax Number	:	305-418-0871

Provider Business Practice Location Address
First Line	:	2282 SW 22ND ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33145-3509
Country	:	US
Telephone Number	:	305-418-0759
Fax Number	:	305-418-0871

Authorized Official
Title or Position	:	OWNER
Name	:	JULIET FERNANDEZ
Credential	:
Telephone Number	:	786-970-1635

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	06/25/2014

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Directions to “APA PHARMACY ” Practice Location

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