Organization
MY PHARMACY OF HOMESTEAD INC
Active
Other names
ROYAL PALM DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MURALI KRISHNA KOTHURI RPH (OWNER)
(305) 247-6949
Entity
Organization
Contact information
Practice address
806 N KROME AVE, HOMESTEAD, FL 33030-4407
(305) 247-6949
(305) 246-0742
Mailing address
806 N KROME AVE, HOMESTEAD, FL 33030-4407
(305) 247-6949
(305) 246-0742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
PH10256
FL
3336C0003X
Community/Retail Pharmacy
PH10256
FL
3336C0004X
Compounding Pharmacy
PH10256
FL
3336H0001X
Home Infusion Therapy Pharmacy
PH10256
FL
3336L0003X
Long Term Care Pharmacy
PH10256
FL
3336S0011X
Specialty Pharmacy
PH10256
FL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018377800
—
FL
01
—
1011814
NABP
FL
01
—
PH10256
PHARMACY
FL
Enumeration date
01/04/2006
Last updated
03/07/2023
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