Healthcare Provider Details

I. General information

NPI: 1306884051
Provider Name (Legal Business Name): CLERO'S PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 NW 87TH CT SUITE 149
HIALEAH GARDENS FL
33018-4586
US

IV. Provider business mailing address

11300 NW 87TH CT SUITE 149
HIALEAH GARDENS FL
33018-4586
US

V. Phone/Fax

Practice location:
  • Phone: 305-820-1242
  • Fax:
Mailing address:
  • Phone: 305-820-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO CLERO
Title or Position: PRESIDENT
Credential:
Phone: 305-820-1242