Organization
PHARMOVISA INC
Active
Other names
MORALES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROSY MORALES (PHCY MGR)
(305) 388-7303
Entity
Organization
Contact information
Practice address
5855 SW 137TH AVE, MIAMI, FL 33183-1105
(305) 388-7303
(305) 388-8113
Mailing address
8465 SW 76TH TER, MIAMI, FL 33143-3750
(786) 281-2846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH13336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102951700
—
FL
01
—
1075034
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/27/2006
Last updated
07/07/2010
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