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NPI Code Detail

MEDICARE: AD PHARMACY INC.

MEDICARE: AD 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
1332B00000XDurable Medical Equipment & Medical SuppliesTO BE ANNOUNCEDFL
23336C0003XCommunity/Retail PharmacyPH25365FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH25365OTHERFLFLORIDA BOARD OF PHARMACY PERMIT

General Provider Information

NPI Number : 1821397241
Entity Type Code : Organization
Provider Name (Legal Business Name) : AD PHARMACY INC.
Provider Business Mailing Address
First Line : 3253 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-4139
Country : US
Telephone Number : 305-541-0070
Fax Number : 305-541-0077
Provider Business Practice Location Address
First Line : 3253 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-4139
Country : US
Telephone Number : 305-541-0070
Fax Number : 305-541-0077
Authorized Official
Title or Position : PRESIDENT
Name : DANIEL DIAZ
Credential :
Telephone Number : 305-303-6571
Provider Enumeration Date : 03/24/2011
Last Update Date : 03/24/2011

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Directions to “AD PHARMACY INC. ” Practice Location

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