Organization
PALM PHARMACY
Active
Other names
Palm Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE CALERA (PRESIDENT/OWNER)
(786) 262-3007
Entity
Organization
Contact information
Practice address
486 PALM AVE, HIALEAH, FL 33010-4718
(305) 392-0051
(305) 392-0052
Mailing address
486 PALM AVE, HIALEAH, FL 33010-4718
(305) 392-0051
(305) 392-0052
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700035
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/24/2010
Last updated
03/04/2013
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