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NPI Code Detail

MEDICARE: NEW HOPE PHARMACY

MEDICARE: NEW HOPE PHARMACY
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyPH22624FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22010232OTHERPK

General Provider Information

NPI Number : 1235268319
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HOPE PHARMACY
Provider Business Mailing Address
First Line : 1920 E 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2714
Country : US
Telephone Number : 305-805-9950
Fax Number : 305-805-9949
Provider Business Practice Location Address
First Line : 1920 E 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2714
Country : US
Telephone Number : 305-805-9950
Fax Number : 305-805-9949
Authorized Official
Title or Position : PRESIDENT
Name : MARIA DEVESA
Credential :
Telephone Number : 305-805-9950
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/01/2015

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Directions to “NEW HOPE PHARMACY ” Practice Location

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