Organization
MY PHARMACY OF BIRD ROAD
Active
Other names
Allen's Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AURELIO J. COLLAZO R.PH. (PRESIDENT)
(305) 666-8582
Entity
Organization
Contact information
Practice address
4000 SW 57TH AVE, MIAMI, FL 33155-5318
(305) 666-8582
(305) 666-9110
Mailing address
4000 SW 57TH AVE, MIAMI, FL 33155-5318
(305) 666-8582
(305) 666-9110
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH28703
FL
333600000X
Pharmacy
PH28703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109383501
—
FL
Enumeration date
10/31/2006
Last updated
12/11/2014
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