Organization
HOMESTEAD MEDICAL PHARMACY INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO OSES (PHARMACIST)
(314) 993-6000
Entity
Organization
Contact information
Practice address
854 N KROME AVE, HOMESTEAD, FL 33030-4407
(305) 248-1310
(305) 248-5809
Mailing address
854 N KROME AVE, HOMESTEAD, FL 33030-4407
(305) 248-1310
(305) 248-5809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH12464
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102493100
—
FL
05
—
102493101
—
FL
01
—
1070553
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
03/07/2023
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