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NPI Code Detail

MEDICARE: CENTERWELL PHARMACY, INC.

MEDICARE: CENTERWELL PHARMACY, 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
13336C0003XCommunity/Retail PharmacyPH28557FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12148023OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215339122
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERWELL PHARMACY, INC.
Provider Business Mailing Address
First Line : 10749 MARKS WAY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3976
Country : US
Telephone Number : 800-526-1489
Fax Number : 800-526-1491
Provider Business Practice Location Address
First Line : 15516 SW 88TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33196-1554
Country : US
Telephone Number : 305-517-3565
Fax Number : 305-549-2519
Authorized Official
Title or Position : VP
Name : SEAN LYSINGER
Credential :
Telephone Number : 502-580-2376
Provider Enumeration Date : 09/23/2014
Last Update Date : 02/24/2026

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Directions to “CENTERWELL PHARMACY, INC. ” Practice Location

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