Organization
COMBINED HEALTH SERVICES CORPORATION
Active
Other names
UNIVERSAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO MORENO RPH (OWNER)
(305) 557-3151
Entity
Organization
Contact information
Practice address
6500 W 4TH AVE, HIALEAH, FL 33012-6606
(305) 557-3151
(305) 557-8239
Mailing address
6500 W 4TH AVE, HIALEAH, FL 33012-6606
(305) 557-3151
(305) 557-8239
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH16505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021852900
—
FL
05
—
021852901
—
FL
01
—
1035573
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2006
Last updated
06/07/2011
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