| NPI | 1124024963 |
|---|---|
| Doing Business As | MY PHARMACY OF CORAL REEF |
| Entity Type | Organization |
| Authorized Contact | ORIN E SMITH Direct Owner 305-238-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH 1823) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 333600000X Pharmacy (Licence: FL PH 19817) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-03-14 |