Healthcare Provider Details

I. General information

NPI: 1023368123
Provider Name (Legal Business Name): TRUE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2012
Last Update Date: 09/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

748 NW 183RD ST
MIAMI GARDENS FL
33169-4250
US

IV. Provider business mailing address

3536 NE 168TH ST APT 507
NORTH MIAMI BEACH FL
33160-3577
US

V. Phone/Fax

Practice location:
  • Phone: 786-484-1777
  • Fax:
Mailing address:
  • Phone: 786-484-1777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateFL

VIII. Authorized Official

Name: MISS ROSARIO MIRIAM HURTADO
Title or Position: PRESIDENT
Credential:
Phone: 786-484-1777