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NPI Code Detail

MEDICARE: O AND J PHARMACY INC

MEDICARE: O AND J PHARMACY 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
1333600000XPharmacyPH23355FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH23355OTHERFLFLORIDA BOARD OF PHARMACY
21034925OTHERFLNCPDP

General Provider Information

NPI Number : 1770750408
Entity Type Code : Organization
Provider Name (Legal Business Name) : O AND J PHARMACY INC
Provider Business Mailing Address
First Line : 1899 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1939
Country : US
Telephone Number : 305-643-0918
Fax Number :
Provider Business Practice Location Address
First Line : 1899 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-1939
Country : US
Telephone Number : 305-643-0918
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. JOSE GARCIA
Credential :
Telephone Number : 305-643-0918
Provider Enumeration Date : 05/12/2008
Last Update Date : 01/14/2009

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Directions to “O AND J PHARMACY INC ” Practice Location

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