Organization
PHARMACY CHEVALIER INC
Active
Other names
Pharmacy Chevalier
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN RIVERA (OWNER)
(786) 600-4242
Entity
Organization
Contact information
Practice address
1553-1555 NW 36 STREET, MIAMI, FL 33142
(786) 600-4242
(786) 600-0525
Mailing address
1553-1555 NW 36 STREET, MIAMI, FL 33142-4131
(786) 600-4242
(786) 600-0525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30130
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160395
PK
—
Enumeration date
06/03/2016
Last updated
12/05/2024
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