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NPI Code Detail

MEDICARE: PHARMA AND SERVICES CORP

MEDICARE: PHARMA AND SERVICES 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
13336C0003XCommunity/Retail PharmacyPH25074FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12136028OTHERPK

General Provider Information

NPI Number : 1235439969
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMA AND SERVICES CORP
Provider Business Mailing Address
First Line : 4214 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7629
Country : US
Telephone Number : 305-827-0473
Fax Number : 305-827-0475
Provider Business Practice Location Address
First Line : 4214 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7629
Country : US
Telephone Number : 305-827-0473
Fax Number : 305-827-0475
Authorized Official
Title or Position : PRESIDENT
Name : DAYSI SANCHEZ
Credential :
Telephone Number : 305-827-0473
Provider Enumeration Date : 10/28/2010
Last Update Date : 03/13/2014

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Directions to “PHARMA AND SERVICES CORP ” Practice Location

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