MEDICARE: PHARMO-MEDICAL INTERNATIONAL 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH7724	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2006182	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407075716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMO-MEDICAL INTERNATIONAL INC

Provider Business Mailing Address
First Line	:	9537 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3247
Country	:	US
Telephone Number	:	305-279-9999
Fax Number	:	305-279-1277

Provider Business Practice Location Address
First Line	:	9537 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3247
Country	:	US
Telephone Number	:	305-279-9999
Fax Number	:	305-279-1277

Authorized Official
Title or Position	:	MANAGER
Name	:	CARY ROIZ
Credential	:
Telephone Number	:	305-279-9999

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	05/07/2020

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Directions to “PHARMO-MEDICAL INTERNATIONAL INC ” Practice Location

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