Healthcare Provider Details

I. General information

NPI: 1205860277
Provider Name (Legal Business Name): BELL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4377 W 16TH AVE
HIALEAH FL
33012-7628
US

IV. Provider business mailing address

4377 W 16TH AVE
HIALEAH FL
33012-7628
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-8388
  • Fax: 305-821-8188
Mailing address:
  • Phone: 305-821-8388
  • Fax: 305-821-8188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH19921
License Number StateFL

VIII. Authorized Official

Name: MARIA R CORDERO
Title or Position: PRESIDENT
Credential:
Phone: 305-821-8388