Healthcare Provider Details
I. General information
NPI: 1366425795
Provider Name (Legal Business Name): MEDICAL PRIORITY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2005
Last Update Date: 06/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1671 W 37TH ST SUITE 6
HIALEAH FL
33012-4639
US
IV. Provider business mailing address
PO BOX 126156
HIALEAH FL
33012-1602
US
V. Phone/Fax
- Phone: 305-558-2038
- Fax: 305-558-2042
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH14488 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IVETTE
PEREDA
Title or Position: VP
Credential:
Phone: 305-558-2038