Organization
LA MILAGROSA PHARMACY & DISCOUNT LLC
Active
Organization
LA MILAGROSA PHARMACY & DISCOUNT LLC
Active
Other names
LA MILAGROSA PHARMACY & DISCOUNT
Organization subpart
No
Provider details
NPI number
Authorized official
MARICELA NICOLAS (PRESIDENT/OWNER)
(305) 545-1127
Entity
Organization
Contact information
Practice address
432 SW 8TH AVE, MIAMI, FL 33130-2507
(305) 545-1127
(305) 545-1129
Mailing address
432 SW 8TH AVE, MIAMI, FL 33130-2507
(305) 545-1127
(305) 545-1129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23391
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000362100
—
FL
01
—
2011854
PK
—
Enumeration date
05/29/2008
Last updated
04/21/2016
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