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NPI Code Detail

MEDICARE: CITY PHARMACY CORP

MEDICARE: CITY PHARMACY 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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12151573OTHERPK

General Provider Information

NPI Number : 1598151391
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY PHARMACY CORP
Provider Business Mailing Address
First Line : 486 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4718
Country : US
Telephone Number : 786-544-0380
Fax Number : 786-257-5749
Provider Business Practice Location Address
First Line : 486 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4718
Country : US
Telephone Number : 786-544-0380
Fax Number : 786-257-5749
Authorized Official
Title or Position : PRESIDENT
Name : DIDIER HERNANDEZ
Credential :
Telephone Number : 786-544-0380
Provider Enumeration Date : 04/09/2015
Last Update Date : 01/15/2016

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Directions to “CITY PHARMACY CORP ” Practice Location

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