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NPI Code Detail

MEDICARE: PHARMALIFE CONSULTANT INC

MEDICARE: PHARMALIFE CONSULTANT INC
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
13336S0011XSpecialty Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy
43336L0003XLong Term Care Pharmacy25182FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11049077OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1144555467
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMALIFE CONSULTANT INC
Provider Business Mailing Address
First Line : PO BOX 431258
Second Line :
City : MIAMI
State : FL
Zip : 33243-1258
Country : US
Telephone Number : 305-545-5586
Fax Number : 305-545-5587
Provider Business Practice Location Address
First Line : 801 SW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33130-1207
Country : US
Telephone Number : 305-545-5586
Fax Number : 305-545-5587
Authorized Official
Title or Position : PRESIDENT
Name : ALBERTO DORADO
Credential :
Telephone Number : 305-545-5586
Provider Enumeration Date : 10/05/2009
Last Update Date : 02/04/2011

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Directions to “PHARMALIFE CONSULTANT INC ” Practice Location

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