Healthcare Provider Details

I. General information

NPI: 1154379378
Provider Name (Legal Business Name): COMPREHENSIVE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12916 SW 132ND CT
MIAMI FL
33186-5819
US

IV. Provider business mailing address

12916 SW 132ND CT
MIAMI FL
33186-5819
US

V. Phone/Fax

Practice location:
  • Phone: 305-235-1072
  • Fax: 305-235-1087
Mailing address:
  • Phone: 305-235-1072
  • Fax: 305-235-1087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH0014208
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JULIE SMITH BAZAN
Title or Position: PHCY MNGR
Credential: PHARM D
Phone: 305-235-1072