Organization
MY PHARMACY CLOSED DOOR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORIN ELBERT SMITH JR. R.PH. (SEC TRES)
(305) 238-2474
Entity
Organization
Contact information
Practice address
15043 S DIXIE HWY, SUITE A, PALMETTO BAY, FL 33176-7930
(305) 238-2474
(305) 252-4196
Mailing address
15043 S DIXIE HWY, SUITE A, PALMETTO BAY, FL 33176-7930
(305) 238-2474
(305) 252-4196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH19817
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PH19817
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH19817
FL
3336L0003X
Long Term Care Pharmacy
Primary
PH19817
FL
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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