Organization
SOUTH MIAMI PHARMACY INC
Active
Other names
SOUTH MIAMI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO BARDISA PHARM D (PHARMACIST OWNER)
(305) 668-6150
Entity
Organization
Contact information
Practice address
6233 SW 72ND ST, SOUTH MIAMI, FL 33143-4804
(305) 668-6150
(305) 668-6137
Mailing address
6050 S DIXIE HWY, SOUTH MIAMI, FL 33143-5042
(305) 740-9696
(305) 740-9778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH19287
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026503900
—
FL
01
—
1099452
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2006
Last updated
03/05/2013
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