MEDICARE: US 1 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
1	3336C0003X	Community/Retail Pharmacy	PH22298	FL

General Provider Information

NPI Number	:	1538303110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US 1 PHARMACY INC

Provider Business Mailing Address
First Line	:	4356 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5208
Country	:	US
Telephone Number	:	954-928-0444
Fax Number	:	954-928-0555

Provider Business Practice Location Address
First Line	:	4356 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5208
Country	:	US
Telephone Number	:	954-928-0444
Fax Number	:	954-928-0555

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VICTOR RAMIREZ
Credential	:
Telephone Number	:	954-928-0444

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	04/27/2009

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