Healthcare Provider Details

I. General information

NPI: 1124596150
Provider Name (Legal Business Name): RX FOR ALL PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 NW 93RD CT STE B109
DORAL FL
33172-2835
US

IV. Provider business mailing address

620 E 40TH ST
HIALEAH FL
33013-2337
US

V. Phone/Fax

Practice location:
  • Phone: 305-490-4968
  • Fax:
Mailing address:
  • Phone: 305-490-4958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NATALY LEAL
Title or Position: PHARMACY DEPARTMENT MANAGER
Credential: PHARMD
Phone: 305-490-4968