Healthcare Provider Details

I. General information

NPI: 1073418133
Provider Name (Legal Business Name): PHARMA ACCESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 N ANDREWS AVE STE 101-102
FORT LAUDERDALE FL
33309-2132
US

IV. Provider business mailing address

1913 S MINTLE ST TRLR 42
AIRWAY HEIGHTS WA
99001-5262
US

V. Phone/Fax

Practice location:
  • Phone: 870-846-0378
  • Fax: 870-846-0378
Mailing address:
  • Phone: 870-846-0378
  • Fax: 870-846-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAUL MELI
Title or Position: AMBR
Credential:
Phone: 870-846-0378