Healthcare Provider Details

I. General information

NPI: 1356422729
Provider Name (Legal Business Name): OLMO PHARMACY,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7167 W FLAGLER ST
MIAMI FL
33144-2601
US

IV. Provider business mailing address

7167 W FLAGLER ST
MIAMI FL
33144-2601
US

V. Phone/Fax

Practice location:
  • Phone: 305-269-5121
  • Fax: 305-269-5154
Mailing address:
  • Phone: 305-269-5121
  • Fax: 305-269-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPH18985
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberPH18985
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH108985
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH18985
License Number StateFL

VIII. Authorized Official

Name: MRS. YULEMA OLMO
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 305-269-5121