Organization
NMB GENERICS PHARMACY
Active
Organization
NMB GENERICS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE GRESS (OWNER)
(305) 974-4510
Entity
Organization
Contact information
Practice address
16600 N MIAMI AVE, MIAMI, FL 33169-6026
(305) 974-4510
(305) 454-9748
Mailing address
16600 N MIAMI AVE, MIAMI, FL 33169-6026
(305) 974-4510
(305) 454-9748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH24730
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH24730
FL
3336M0002X
Mail Order Pharmacy
PH24730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003506400
—
FL
Enumeration date
07/12/2010
Last updated
08/10/2011
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