| NPI | 1326045345 |
|---|---|
| Other Name | THE MEDICARE SHOPPE.COM |
| Entity Type | Organization |
| Authorized Contact | LUIS ANDRES FERNANDEZ President / Program Director 305-693-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH16014) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1222810001) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |