MEDICARE: ALLIED 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	PH24580	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1055955	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1558684340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED PHARMACY INC

Provider Business Mailing Address
First Line	:	3964 CURTISS PKWY
Second Line	:	BAY 1
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7108
Country	:	US
Telephone Number	:	305-603-9498
Fax Number	:	305-603-9532

Provider Business Practice Location Address
First Line	:	3964 CURTISS PKWY
Second Line	:	BAY 1
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7108
Country	:	US
Telephone Number	:	305-603-9498
Fax Number	:	305-603-9532

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MERCEDES BATISTA
Credential	:
Telephone Number	:	305-603-9498

Provider Enumeration Date	:	03/08/2010
Last Update Date	:	04/08/2011

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Directions to “ALLIED PHARMACY INC ” Practice Location

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