Organization
MED-SOURCE PHARMACY SERVICES CORP
Active
Organization
MED-SOURCE PHARMACY SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALLAS LONARDO (PRESIDENT)
(305) 854-7377
Entity
Organization
Contact information
Practice address
515 SW 17TH AVE STE 1, MIAMI, FL 33135-3878
(305) 854-7377
(305) 854-7327
Mailing address
515 SW 17TH AVE STE 1, MIAMI, FL 33135-3878
(305) 854-7377
(305) 854-7327
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 23666
FL
3336L0003X
Long Term Care Pharmacy
PH23665
FL
Other
Enumeration date
02/04/2009
Last updated
10/23/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up