Healthcare Provider Details

I. General information

NPI: 1508469438
Provider Name (Legal Business Name): NORMA ALEJANDRA ZILLA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2020
Last Update Date: 11/22/2020
Certification Date: 11/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 NW 186TH ST
HIALEAH FL
33015-6006
US

IV. Provider business mailing address

11965 SW 26TH CT
MIRAMAR FL
33025-0777
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-8424
  • Fax: 786-621-1097
Mailing address:
  • Phone: 954-304-6325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS38480
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: