MEDICARE: HEALTHRX MIAMI 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
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1710752563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHRX MIAMI PHARMACY CORP

Provider Business Mailing Address
First Line	:	10063 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4623
Country	:	US
Telephone Number	:	786-963-0154
Fax Number	:	786-963-0155

Provider Business Practice Location Address
First Line	:	10063 SW 72ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4623
Country	:	US
Telephone Number	:	786-963-0154
Fax Number	:	786-963-0155

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VICENTE VAZQUEZ
Credential	:
Telephone Number	:	786-963-0154

Provider Enumeration Date	:	11/21/2023
Last Update Date	:	04/10/2026

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Directions to “HEALTHRX MIAMI PHARMACY CORP ” Practice Location

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