Organization
FIS'S CARE PHARMACY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISANDRO C FIS (OWNER PRESIDENT)
(305) 256-1180
Entity
Organization
Contact information
Practice address
15190 SW 136TH ST STE 27, MIAMI, FL 33196-2618
(305) 256-1180
(305) 256-1189
Mailing address
15190 SW 136TH ST STE 27, MIAMI, FL 33196-2618
(305) 256-1180
(305) 256-1189
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH21464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031135900
—
FL
01
—
031135901
MEDICAID DME
FL
Enumeration date
10/04/2006
Last updated
01/05/2016
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