Healthcare Provider Details

I. General information

NPI: 1730815770
Provider Name (Legal Business Name): NOOR PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2022
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18825 SW 117TH AVE
MIAMI FL
33177-3250
US

IV. Provider business mailing address

18825 SW 117TH AVE
MIAMI FL
33177-3250
US

V. Phone/Fax

Practice location:
  • Phone: 786-785-6420
  • Fax: 786-785-6421
Mailing address:
  • Phone:
  • Fax:

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: FIRAS AL GHARIB
Title or Position: PHARMACIST/OWNER
Credential: RPH
Phone: 786-785-6420