Healthcare Provider Details

I. General information

NPI: 1871741421
Provider Name (Legal Business Name): LENIUL PHARMACY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 SW 8TH ST STE 202
MIAMI FL
33135-2861
US

IV. Provider business mailing address

2901 SW 8TH ST STE 202
MIAMI FL
33135-2861
US

V. Phone/Fax

Practice location:
  • Phone: 305-644-9866
  • Fax: 305-644-9867
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH23543
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LUIS VALDES
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-644-9866