# MY PHARMACY OF BIRD ROAD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ALLEN'S MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376540294
- **Authorized official:** AURELIO COLLAZO BS PHARMACY (PRESIDENT)
- **Authorized official phone:** (305) 666-8582

## Contact information

- **Practice address:** 4000 SW 57TH AVE, MIAMI, FL 33155-5318
- **Practice address phone:** (305) 666-8582
- **Practice address fax:** (305) 666-9110
- **Mailing address:** 4000 SW 57TH AVE, MIAMI, FL 33155-5318
- **Mailing address phone:** (305) 666-8582
- **Mailing address fax:** (305) 666-9110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH28703 | FL | Yes |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 01/12/2015