Organization
CHORI CORP
Active
Other names
COBRA MEDICAL EQUIPMENT PLUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MARQUEZ (CEO/PRESIDENT)
(305) 629-2633
Entity
Organization
Contact information
Practice address
10825 NW 17TH ST, SUITE 105, MIAMI, FL 33172-2016
(305) 629-2633
(305) 629-8081
Mailing address
10825 NW 17TH ST, SUITE 105, MIAMI, FL 33172-2016
(305) 629-2633
(305) 629-8081
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH26071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5713195
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
951866500
—
FL
Enumeration date
01/28/2013
Last updated
01/28/2013
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