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NPI Code Detail

MEDICARE: METRO RX LLC

MEDICARE: METRO RX LLC
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
13336C0004XCompounding PharmacyPH25368FL
23336C0003XCommunity/Retail PharmacyPH25368FL

General Provider Information

NPI Number : 1891084075
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO RX LLC
Provider Business Mailing Address
First Line : 4809 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4307
Country : US
Telephone Number : 407-668-4945
Fax Number : 407-704-1469
Provider Business Practice Location Address
First Line : 4809 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4307
Country : US
Telephone Number : 407-668-4945
Fax Number : 407-704-1469
Authorized Official
Title or Position : MEMBER/MANAGER
Name : OMAR ZOOBI
Credential : RPH
Telephone Number : 407-668-4945
Provider Enumeration Date : 03/28/2011
Last Update Date : 03/28/2011

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Directions to “METRO RX LLC ” Practice Location

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