Organization
MADAHIMA PHARMACY INC
Active
Other names
MADAHIMA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PEREZ (MANAGER)
(305) 556-6060
Entity
Organization
Contact information
Practice address
8129 W 8TH AVE, HIALEAH, FL 33014-3529
(305) 556-6060
(305) 556-3999
Mailing address
8129 W 8TH AVE, HIALEAH, FL 33014-3529
(305) 556-6060
(305) 556-3999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH10589
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100422100
—
FL
01
—
2009309
PK
—
Enumeration date
08/31/2006
Last updated
01/28/2016
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