Healthcare Provider Details

I. General information

NPI: 1144605023
Provider Name (Legal Business Name): PHARMA-VILLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 NW 173RD DR UNIT 8
HIALEAH FL
33015-5122
US

IV. Provider business mailing address

5911 NW 173RD DR UNIT 8
HIALEAH FL
33015-5122
US

V. Phone/Fax

Practice location:
  • Phone: 813-605-0732
  • Fax: 813-605-0733
Mailing address:
  • Phone: 813-605-0732
  • Fax: 813-605-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH29232
License Number StateFL

VIII. Authorized Official

Name: ANABEL ALCANTARA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 786-642-1375