Healthcare Provider Details

I. General information

NPI: 1710752563
Provider Name (Legal Business Name): HEALTHRX MIAMI PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10063 SW 72ND ST
MIAMI FL
33173-4623
US

IV. Provider business mailing address

10063 SW 72ND ST
MIAMI FL
33173-4623
US

V. Phone/Fax

Practice location:
  • Phone: 786-963-0154
  • Fax: 786-963-0155
Mailing address:
  • Phone: 786-963-0154
  • Fax: 786-963-0155

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: VICENTE VAZQUEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-963-0154