Organization
PALM AVENUE PHAR,MACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY ECHEVARRIA (PRESIDENT)
(305) 863-9060
Entity
Organization
Contact information
Practice address
400 PALM AVE, HIALEAH, FL 33010-4718
(305) 863-9060
(305) 863-4142
Mailing address
400 PALM AVE, HIALEAH, FL 33010-4718
(305) 863-9060
(305) 863-4142
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH15576
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH 15576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH15576
BOARD OF PHARMACY PERMIT
FL
Enumeration date
01/09/2006
Last updated
09/11/2025
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