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Organization
MY PHARMACY OF BIRD ROAD INC
Active
Organization
MY PHARMACY OF BIRD ROAD INC
Active
Other names
ALLEN'S MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
AURELIO COLLAZO BS PHARMACY (PRESIDENT)
(305) 666-8582
Entity
Organization
Contact information
Practice address
4000 SW 57TH AVE, MIAMI, FL 33155-5318
(305) 666-8582
(305) 666-9110
Mailing address
4000 SW 57TH AVE, MIAMI, FL 33155-5318
(305) 666-8582
(305) 666-9110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH28703
FL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
07/07/2005
Last updated
01/12/2015
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