Organization
UNIVERSAL ARTS PHARMACY INC
Active
Other names
UNIVERSAL ARTS COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON SEVERINO MORENO BS PHARM. (RPH/CEO)
(305) 556-2673
Entity
Organization
Contact information
Practice address
14350 NW 56TH CT, UNIT 114, OPA LOCKA, FL 33054-2353
(305) 556-2673
(305) 556-9749
Mailing address
14350 NW 56TH CT, UNIT 114, OPA LOCKA, FL 33054-2353
(305) 556-2673
(305) 556-9749
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH0013996
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078737
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2009
Last updated
05/13/2013
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