Organization
PHARMOVISA INC
Active
Organization
PHARMOVISA INC
Active
Other names
MORALES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MORALES (PHCY MGR)
(305) 558-7800
Entity
Organization
Contact information
Practice address
2416 W 60TH ST, HIALEAH, FL 33016-4418
(305) 558-7800
(305) 558-1515
Mailing address
8465 SW 76TH TER, MIAMI, FL 33143-3750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH14145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103903200
—
FL
01
—
1078585
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/27/2006
Last updated
12/12/2008
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