Healthcare Provider Details
I. General information
NPI: 1487952289
Provider Name (Legal Business Name): PRONTO PHARMACY GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2011
Last Update Date: 08/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6765 W FLAGLER ST
MIAMI FL
33144-2923
US
IV. Provider business mailing address
6765 W FLAGLER ST
MIAMI FL
33144-2923
US
V. Phone/Fax
- Phone: 305-456-7130
- Fax: 305-456-7751
- Phone: 305-456-7130
- Fax: 305-456-7751
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH26368 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESTHER
M
SOTO
Title or Position: PRESIDENT
Credential:
Phone: 305-456-7130