Healthcare Provider Details

I. General information

NPI: 1376636050
Provider Name (Legal Business Name): CMS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009
US

IV. Provider business mailing address

327 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009
US

V. Phone/Fax

Practice location:
  • Phone: 954-454-0052
  • Fax: 954-454-0052
Mailing address:
  • Phone: 954-454-0052
  • Fax: 954-454-0052

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: RITA VAZQUEZ
Title or Position: PRESIDENT
Credential:
Phone: 19544540052