Organization
NORTHWEST MEDICAL PHARMACY LLC
Active
Other names
NORTHWEST MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXEI TOLEDO (MGRM)
(305) 637-6776
Entity
Organization
Contact information
Practice address
2089 SW 67TH AVE, SUITE B, MIAMI, FL 33155-1835
(305) 637-6776
(305) 637-3404
Mailing address
2089 SW 67TH AVE, SUITE B, MIAMI, FL 33155-1835
(305) 637-6776
(305) 637-3404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004301400
—
FL
01
—
5706392
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/29/2011
Last updated
02/14/2013
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