MEDICARE: MILTON MEDICAL & DRUG CO 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	3336C0003X	Community/Retail Pharmacy

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467452417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILTON MEDICAL & DRUG CO INC.

Provider Business Mailing Address
First Line	:	958 ARTHUR GODFREY RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3307
Country	:	US
Telephone Number	:	305-531-6436
Fax Number	:	305-532-1854

Provider Business Practice Location Address
First Line	:	958 ARTHUR GODFREY RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3307
Country	:	US
Telephone Number	:	305-531-6436
Fax Number	:	305-532-1854

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MR. LAWRENCE WEISS
Credential	:
Telephone Number	:	305-531-6436

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	11/10/2020

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Directions to “MILTON MEDICAL & DRUG CO INC. ” Practice Location

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