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Organization
UNIVERSAL ARTS PHARMACY INC
Active
Organization
UNIVERSAL ARTS PHARMACY INC
Active
Other names
UNIVERSAL ARTS COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON SEVERINO MORENO BS PHARM. (RPH/CEO)
(305) 556-2673
Entity
Organization
Contact information
Practice address
14350 NW 56TH CT, UNIT 114, OPA LOCKA, FL 33054-2353
(305) 556-2673
(305) 556-9749
Mailing address
14350 NW 56TH CT, UNIT 114, OPA LOCKA, FL 33054-2353
(305) 556-2673
(305) 556-9749
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH0013996
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078737
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2009
Last updated
05/13/2013
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