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Organization
MY PHARMACY INC
Active
Organization
MY PHARMACY INC
Active
Other names
PALMETTO BAY HOME MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERT SMITH RPH (SEC TRES)
(305) 238-2478
Entity
Organization
Contact information
Practice address
14989 S DIXIE HWY, PALMETTO BAY, FL 33176-7929
(305) 238-2478
(305) 238-0261
Mailing address
14989 S DIXIE HWY, PALMETTO BAY, FL 33176-7929
(305) 238-2478
(305) 238-0261
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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