Organization
MIAMI EXECUTIVE PHARMACY INC
Active
Other names
MIAMI EXECUTIVE PHARMACY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY SOLOVYEV (PRESIDENT)
(305) 670-5253
Entity
Organization
Contact information
Practice address
8950 SW 74TH CT STE 102, MIAMI, FL 33156-3172
(305) 670-5253
(800) 557-0966
Mailing address
8950 SW 74TH CT, SUITE 102, MIAMI, FL 33156-3171
(305) 670-5253
(800) 557-0966
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25241
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128860
PK
—
Enumeration date
02/11/2011
Last updated
04/07/2016
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