Organization
PHARMACY ONE INC
Active
Other names
ROBERTS DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREEN ABDOH (PIC)
(305) 637-8311
Entity
Organization
Contact information
Practice address
2505 NW 54TH ST, MIAMI, FL 33142-2947
(305) 637-8311
(305) 637-8227
Mailing address
2505 NW 54TH ST, MIAMI, FL 33142-2947
(305) 637-8311
(305) 637-8227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH17820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022665300
—
FL
05
—
022665301
—
FL
01
—
1092725
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/29/2006
Last updated
08/11/2011
Update your record
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