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NPI Code Detail

MEDICARE: RITZ PHARMACY INC

MEDICARE: RITZ 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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPH25123FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15703916OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1457661746
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITZ PHARMACY INC
Provider Business Mailing Address
First Line : 2173 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1638
Country : US
Telephone Number : 305-643-2906
Fax Number : 305-643-9760
Provider Business Practice Location Address
First Line : 2173 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1638
Country : US
Telephone Number : 305-643-2906
Fax Number : 305-643-9760
Authorized Official
Title or Position : PRESIDENT
Name : YANIS CRUZ
Credential :
Telephone Number : 305-643-2906
Provider Enumeration Date : 10/20/2010
Last Update Date : 02/13/2012

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Directions to “RITZ PHARMACY INC ” Practice Location

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