Healthcare Provider Details

I. General information

NPI: 1346167749
Provider Name (Legal Business Name): PDL PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3255 NW 7TH ST
MIAMI FL
33125-4139
US

IV. Provider business mailing address

3255 NW 7TH ST
MIAMI FL
33125-4139
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-3705
  • Fax: 305-266-3706
Mailing address:
  • Phone: 305-266-3705
  • Fax: 305-266-3706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YORDY JULIAN PONCE DE LEON
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 305-266-3705