Healthcare Provider Details
I. General information
NPI: 1598270092
Provider Name (Legal Business Name): ADNO PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2017
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7958 SW 8TH ST
MIAMI FL
33144-4209
US
IV. Provider business mailing address
7958 SW 8TH ST
MIAMI FL
33144-4209
US
V. Phone/Fax
- Phone: 305-266-9999
- Fax: 305-264-3086
- Phone: 305-266-9999
- Fax: 305-264-3086
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | PH29763 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH29763 |
| License Number State | FL |
VIII. Authorized Official
Name:
NATALIIA
ONDA
Title or Position: PRESIDENT
Credential:
Phone: 305-266-9999