MEDICARE: AMERYPHARMACY CORPORATION

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	:	1740476175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERYPHARMACY CORPORATION

Provider Business Mailing Address
First Line	:	4501 PALM AVE
Second Line	:	206
City	:	HIALEAH
State	:	FL
Zip	:	33012-4010
Country	:	US
Telephone Number	:	305-557-3351
Fax Number	:	305-557-3501

Provider Business Practice Location Address
First Line	:	4501 PALM AVE
Second Line	:	206
City	:	HIALEAH
State	:	FL
Zip	:	33012-4010
Country	:	US
Telephone Number	:	305-557-3351
Fax Number	:	305-557-3501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIA CASTANO LIRIANO
Credential	:
Telephone Number	:	305-557-3351

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	05/09/2008

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Directions to “AMERYPHARMACY CORPORATION ” Practice Location

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