Healthcare Provider Details

I. General information

NPI: 1356959134
Provider Name (Legal Business Name): CVERX PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 09/10/2021
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7360 SW 24TH ST STE 29
MIAMI FL
33155-1462
US

IV. Provider business mailing address

7360 SW 24TH ST STE 29
MIAMI FL
33155-1462
US

V. Phone/Fax

Practice location:
  • Phone: 786-226-8116
  • Fax: 786-226-8106
Mailing address:
  • Phone: 786-226-8116
  • Fax: 786-226-8106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. FELIX MANUEL CERVER
Title or Position: PRESIDENT
Credential:
Phone: 786-226-8116