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NPI Code Detail

MEDICARE: NMB PHARMACY INC

MEDICARE: NMB 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 PharmacyPH31337FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12177083OTHERPK

General Provider Information

NPI Number : 1467959783
Entity Type Code : Organization
Provider Name (Legal Business Name) : NMB PHARMACY INC
Provider Business Mailing Address
First Line : 1203 NE 163RD ST
Second Line : SUITE 103
City : N MIAMI BEACH
State : FL
Zip : 33162-4634
Country : US
Telephone Number : 305-768-9888
Fax Number : 305-768-9828
Provider Business Practice Location Address
First Line : 1203 NE 163RD ST
Second Line : SUITE 103
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-4634
Country : US
Telephone Number : 305-768-9888
Fax Number : 631-382-8235
Authorized Official
Title or Position : CEO
Name : PAUL JAMES GREENALL
Credential :
Telephone Number : 415-860-2534
Provider Enumeration Date : 04/12/2018
Last Update Date : 05/24/2024

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Directions to “NMB PHARMACY INC ” Practice Location

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