Healthcare Provider Details

I. General information

NPI: 1962275735
Provider Name (Legal Business Name): EXCEL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9495 SW 72ND ST STE B180P
MIAMI FL
33173-3253
US

IV. Provider business mailing address

9495 SW 72ND ST STE B180P
MIAMI FL
33173-3253
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-5319
  • Fax: 305-274-5320
Mailing address:
  • Phone: 305-274-5319
  • Fax: 305-274-5320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: NATALIA VEGA
Title or Position: PRESIDENT
Credential:
Phone: 305-274-5319