Healthcare Provider Details

I. General information

NPI: 1023099926
Provider Name (Legal Business Name): MAJORCA DRUG STORE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1823 PONCE DE LEON BLVD
CORAL GABLES FL
33134-4418
US

IV. Provider business mailing address

1823 PONCE DE LEON BLVD
CORAL GABLES FL
33134-4418
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-1757
  • Fax: 305-448-1758
Mailing address:
  • Phone: 305-448-1757
  • Fax: 305-448-1758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH 135
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. PIEDAD CARBALLO
Title or Position: PRESIDENT
Credential:
Phone: 305-448-1757