MEDICARE: JOSTHER MEDICAL SUPPLIES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1053332056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSTHER MEDICAL SUPPLIES CORP

Provider Business Mailing Address
First Line	:	1189 W 37TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4941
Country	:	US
Telephone Number	:	305-364-0830
Fax Number	:	305-364-0860

Provider Business Practice Location Address
First Line	:	1189 W 37TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4941
Country	:	US
Telephone Number	:	305-364-0830
Fax Number	:	305-364-0860

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS SOTO
Credential	:
Telephone Number	:	305-364-0830

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	08/22/2020

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Directions to “JOSTHER MEDICAL SUPPLIES CORP ” Practice Location

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