Organization
PALM SHIRAZ
Active
Other names
MODERN MEDS
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY ALMODOVAN (OFC MGR)
(305) 613-3328
Entity
Organization
Contact information
Practice address
6860 SW 81 ST, MIAMI, FL 33143
(305) 740-5081
(877) 740-5086
Mailing address
6860 SW 81 ST, MIAMI, FL 33143
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH21711
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016852
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/21/2006
Last updated
09/11/2025
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