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NPI Code Detail

MEDICARE: TARARA PHARMACY, INC.

MEDICARE: TARARA PHARMACY, INC.
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
13336C0003XCommunity/Retail PharmacyPH1848FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306820345
Entity Type Code : Organization
Provider Name (Legal Business Name) : TARARA PHARMACY, INC.
Provider Business Mailing Address
First Line : 1160 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33130-1034
Country : US
Telephone Number : 305-545-7561
Fax Number : 305-545-0505
Provider Business Practice Location Address
First Line : 1160 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33130-1034
Country : US
Telephone Number : 305-545-7561
Fax Number : 305-545-0505
Authorized Official
Title or Position : PRESIDENT
Name : JOSE M CORTEGUERA
Credential :
Telephone Number : 305-545-7561
Provider Enumeration Date : 12/02/2005
Last Update Date : 08/28/2014

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Directions to “TARARA PHARMACY, INC. ” Practice Location

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