Healthcare Provider Details

I. General information

NPI: 1346355468
Provider Name (Legal Business Name): NAVARRO DISCOUNT PHARMACIES 16 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 N KENDALL DR
MIAMI FL
33176-1943
US

IV. Provider business mailing address

9400 NW 104TH ST
MEDLEY FL
33178-1333
US

V. Phone/Fax

Practice location:
  • Phone: 305-636-7779
  • Fax: 305-598-3517
Mailing address:
  • Phone: 305-636-7779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number031870101
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH0018219
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number4542590001
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number031870100
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1094212
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JUAN PAULA
Title or Position: RX MANAGER
Credential: RPH
Phone: 305-636-7779