MEDICARE: STERLING 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
1	333600000X	Pharmacy	PH24435	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1053254	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1255663795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERLING PHARMACY INC

Provider Business Mailing Address
First Line	:	1090 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4634
Country	:	US
Telephone Number	:	786-360-4176
Fax Number	:	786-360-4177

Provider Business Practice Location Address
First Line	:	1090 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-4634
Country	:	US
Telephone Number	:	786-360-4176
Fax Number	:	786-360-4177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HENRY E RUIZ
Credential	:
Telephone Number	:	786-360-4176

Provider Enumeration Date	:	02/09/2010
Last Update Date	:	06/23/2010

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Directions to “STERLING PHARMACY INC ” Practice Location

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