MEDICARE: FEMY DRUG 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
1	3336C0003X	Community/Retail Pharmacy	PH21328	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	PH21328	OTHER	FL	STATE PHARMACY LICENSE #
3	1015937	OTHER	FL	NCPDP

General Provider Information

NPI Number	:	1437243011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEMY DRUG CORP.

Provider Business Mailing Address
First Line	:	9884 SW 40 ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3912
Country	:	US
Telephone Number	:	305-221-4711
Fax Number	:	305-221-8058

Provider Business Practice Location Address
First Line	:	9884 SW 40 ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3912
Country	:	US
Telephone Number	:	305-221-4711
Fax Number	:	305-221-8058

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ORESTES CASTRO
Credential	:
Telephone Number	:	305-221-4711

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/31/2014

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Directions to “FEMY DRUG CORP. ” Practice Location

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