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NPI Code Detail

MEDICARE: HEALTHNET PHARMACY SERVICES, INC.

MEDICARE: HEALTHNET PHARMACY SERVICES, 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy
43336L0003XLong Term Care PharmacyPH16507FL

Other Identifiers

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

General Provider Information

NPI Number : 1275579815
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHNET PHARMACY SERVICES, INC.
Provider Business Mailing Address
First Line : 15518 NW 77TH CT
Second Line : ROYAL OAKS PLAZA
City : MIAMI LAKES
State : FL
Zip : 33016-5804
Country : US
Telephone Number : 305-823-3461
Fax Number : 305-557-6945
Provider Business Practice Location Address
First Line : 15518 NW 77TH CT
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-5804
Country : US
Telephone Number : 305-823-3461
Fax Number : 305-557-6945
Authorized Official
Title or Position : OWNER PHARMACIST
Name : MIGUEL MORENO
Credential :
Telephone Number : 305-823-3461
Provider Enumeration Date : 06/21/2006
Last Update Date : 10/14/2019

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