MEDICARE: CONFIDENTIAL PHARMA

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1366197436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENTIAL PHARMA

Provider Business Mailing Address
First Line	:	645 W HALLANDALE BEACH BLVD STE 107
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5345
Country	:	US
Telephone Number	:	305-570-1933
Fax Number	:	305-570-2433

Provider Business Practice Location Address
First Line	:	645 W HALLANDALE BEACH BLVD STE 107
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5345
Country	:	US
Telephone Number	:	305-570-1933
Fax Number	:	305-570-2433

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	IVETTE SOTO
Credential	:	RPH
Telephone Number	:	305-467-4868

Provider Enumeration Date	:	02/17/2022
Last Update Date	:	02/28/2022

Similar Medicare Providers

1962174540 — MRS. GILENA GARCIA APRN
Practice Location Address:

645 W HALLANDALE BEACH BLVD STE 109
HALLANDALE BEACH, FL
33009-5345

Practice Phone: 786-488-7870
Practice Fax:

1780085522 — IVETTE SOTO RPH
Practice Location Address:

645 W HALLANDALE BEACH BLVD STE 107
HALLANDALE BEACH, FL
33009-5345

Practice Phone: 305-570-1933
Practice Fax: 305-570-2433

1316835358 — EVERCHANGING THERAPY INC
Practice Location Address:

645 W HALLANDALE BEACH BLVD STE 105
HALLANDALE BEACH, FL
33009-5345

Practice Phone: 786-756-6063
Practice Fax:

1497730667 — DR. LAWRENCE LEIBOWITZ DDS
Practice Location Address:

1385 FORDHAM DR , SUITE 106
VIRGINIA BEACH, VA
23464-5345

Practice Phone: 757-424-3555
Practice Fax:

1710907290 — DR. ANNE NORRIS OZER D.D.S.
Practice Location Address:

451 MANHATTAN BEACH BLVD STE C232
MANHATTAN BEACH, CA
90266-5345

Practice Phone: 310-545-4440
Practice Fax: 310-545-4441

1407877194 — DR. STEVEN WOLFF OZER D.D.S.
Practice Location Address:

451 MANHATTAN BEACH BLVD STE C232
MANHATTAN BEACH, CA
90266-5345

Practice Phone: 310-545-4440
Practice Fax: 310-545-4441

Directions to “CONFIDENTIAL PHARMA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.