MEDICARE: DADE COUNTY PHARMACY

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1780903195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE COUNTY PHARMACY

Provider Business Mailing Address
First Line	:	1181 W 37TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4941
Country	:	US
Telephone Number	:	305-828-0434
Fax Number	:	305-828-0435

Provider Business Practice Location Address
First Line	:	1181 W 37TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4941
Country	:	US
Telephone Number	:	305-828-0434
Fax Number	:	305-828-0435

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. YOEL GONZALEZ-GIL
Credential	:
Telephone Number	:	305-828-0434

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	05/25/2010

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Directions to “DADE COUNTY PHARMACY ” Practice Location

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