1492 Pharma Group Corp in South Miami - Community/retail Pharmacy
1492 Pharma Group Corp - NPI 1417968058
1492 Pharma Group Corp is a Community/retail Pharmacy in South Miami, Florida. 1492 Pharma Group Corp practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for 1492 Pharma Group Corp is 1417968058. The last update date is 2022-12-12.
1492 Pharma Group Corp's current location address is 6420 Sw 62nd Ave, South Miami, Florida. You can contact this provider via phone number 3056654411 and fax number 3056633258. The mailing address for 1492 Pharma Group Corp is 6420 Sw 62nd Ave, South Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 1492 Pharma Group Corp |
|---|---|
| Address | 6420 Sw 62nd Ave, South Miami, Florida |
| Phone Number | 3056654411 |
| Fax Number | 3056633258 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Martinez Elena Sonia |
| Credentials | BSPHARM |
| Telephone Number | 3056654411 |
NPI Number Detail
| NPI Number | 1417968058 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 6420 Sw 62nd Ave |
|---|---|
| City | South Miami |
| State | Florida (FL) |
| Post Code | 331433302 |
| Phone Number | 3056654411 |
| Fax Number | 3056633258 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PH22048 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7260700 | FL | -- | |
| 19180600 | FL | -- |
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What is the 1492 Pharma Group Corp's 1417968058?
The 1492 Pharma Group Corp's NPI (National Provider Identifier) Number is 1417968058. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of 1492 Pharma Group Corp?
The 1492 Pharma Group Corp is situated at 6420 Sw 62Nd Ave, in the city of South Miami, state of FL, with the zip code 331433302.
What is the 1492 Pharma Group Corp's specialty and taxonomy code?
The 1492 Pharma Group Corp's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417968058 to 1492 Pharma Group Corp?
The 1492 Pharma Group Corp received its 1417968058 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.
When was the information regarding 1492 Pharma Group Corp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to 1492 Pharma Group Corp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-12-12.
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