# MY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALMETTO BAY HOME MEDICAL EQUIPMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376795740
- **Authorized official:** MR. BERT SMITH RPH (SEC TRES)
- **Authorized official phone:** (305) 238-2478

## Contact information

- **Practice address:** 14989 S DIXIE HWY, PALMETTO BAY, FL 33176-7929
- **Practice address phone:** (305) 238-2478
- **Practice address fax:** (305) 238-0261
- **Mailing address:** 14989 S DIXIE HWY, PALMETTO BAY, FL 33176-7929
- **Mailing address phone:** (305) 238-2478
- **Mailing address fax:** (305) 238-0261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 10/16/2008
