Healthcare Provider Details

I. General information

NPI: 1639757198
Provider Name (Legal Business Name): AMZ GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 NE 125TH ST
NORTH MIAMI FL
33161-4754
US

IV. Provider business mailing address

450 NE 125TH ST
NORTH MIAMI FL
33161-4754
US

V. Phone/Fax

Practice location:
  • Phone: 305-677-1221
  • Fax: 888-958-7891
Mailing address:
  • Phone: 786-391-3771
  • Fax: 786-391-3769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN O BANJOKO
Title or Position: CFO
Credential:
Phone: 813-341-4000