Organization
EVENECER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA MOTA CLEARE (PHCY CONSULTANT)
(786) 423-6008
Entity
Organization
Contact information
Practice address
441 NW 12TH AVE, MIAMI, FL 33128-1020
(305) 324-9395
(305) 324-9396
Mailing address
441 NW 12TH AVE, MIAMI, FL 33128-1020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH21639
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016054
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/13/2006
Last updated
09/11/2025
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