Healthcare Provider Details

I. General information

NPI: 1497858096
Provider Name (Legal Business Name): PRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NE 167TH ST
NORTH MIAMI BEACH FL
33162-3402
US

IV. Provider business mailing address

1 NE 167TH ST
NORTH MIAMI BEACH FL
33162-3402
US

V. Phone/Fax

Practice location:
  • Phone: 305-573-3314
  • Fax: 305-573-9669
Mailing address:
  • Phone: 305-573-3314
  • Fax: 305-573-9669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH13731
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO URTEAGA
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-573-3314