Organization
OMA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA FORTE (PRESIDENT)
(305) 485-1720
Entity
Organization
Contact information
Practice address
2736 SW 137TH AVE, MIAMI, FL 33175-6638
(305) 485-1720
(305) 485-1722
Mailing address
2736 SW 137TH AVE, MIAMI, FL 33175-6638
(305) 485-1720
(305) 485-1722
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4296
DOC NUMBER
FL
Enumeration date
01/21/2011
Last updated
01/21/2011
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