Organization
MY PHARMACY, INC.
Active
Other names
My Pharmacy of Coral Reef
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORIN E SMITH JR. RPH (DIRECT OWNER)
(305) 238-2474
Entity
Organization
Contact information
Practice address
15043 S DIXIE HWY, MIAMI, FL 33176-7930
(305) 238-2474
(305) 238-0261
Mailing address
15043 S DIXIE HWY, MIAMI, FL 33176-7930
(305) 238-2474
(305) 238-0261
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
PH 1823
FL
333600000X
Pharmacy
PH 19817
FL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015874
NABP
FL
01
—
P3228
BCBS PROVIDER
FL
Enumeration date
06/27/2005
Last updated
03/14/2008
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