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NPI Code Detail

MEDICARE: MD AND J ENTERPRISES INC

MEDICARE: MD AND J ENTERPRISES 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
1333600000XPharmacyPH7007FL
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11035143OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1295832111
Entity Type Code : Organization
Provider Name (Legal Business Name) : MD AND J ENTERPRISES INC
Provider Business Mailing Address
First Line : 810 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33135-4602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 810 SW 27TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33135-4602
Country : US
Telephone Number : 305-649-4644
Fax Number : 305-541-1666
Authorized Official
Title or Position : PRESIDENT
Name : MYRTHA JEAN
Credential : RPH
Telephone Number : 305-624-9148
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/11/2025

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Directions to “MD AND J ENTERPRISES INC ” Practice Location

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