Organization
ASC PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASCANIO SERNA (PRESIDENT)
(305) 698-5411
Entity
Organization
Contact information
Practice address
3416 W 84TH ST, 108, HIALEAH, FL 33018-4933
(305) 698-5411
(305) 698-5586
Mailing address
3416 W 84TH ST, 108, HIALEAH, FL 33018-4933
(305) 698-5411
(305) 698-5586
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22490
FL
3336C0004X
Compounding Pharmacy
PH22490
FL
3336S0011X
Specialty Pharmacy
PH22490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013516900
—
FL
Enumeration date
02/14/2007
Last updated
03/07/2023
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