Healthcare Provider Details

I. General information

NPI: 1134042625
Provider Name (Legal Business Name): PRISMA PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11108 SW 184TH ST
CUTLER BAY FL
33157-6603
US

IV. Provider business mailing address

11108 SW 184TH ST
CUTLER BAY FL
33157-6603
US

V. Phone/Fax

Practice location:
  • Phone: 786-713-0426
  • Fax:
Mailing address:
  • Phone: 786-713-0426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA CABRERA PINO
Title or Position: OWNER
Credential:
Phone: 786-830-1543