Healthcare Provider Details

I. General information

NPI: 1053337485
Provider Name (Legal Business Name): ADVANCED PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 PARK BLVD
MIAMI FL
33126-8009
US

IV. Provider business mailing address

251 PARK BLVD
MIAMI FL
33126-8009
US

V. Phone/Fax

Practice location:
  • Phone: 305-264-5570
  • Fax: 305-264-5571
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPH21862
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GUDALDO TORRES
Title or Position: OWNER
Credential:
Phone: 786-355-1733