Commcare Pharmacy Mia

LBN: Commcare Pharmacy Mia Llc
Commcare Pharmacy Mia is an health care organization with primary practice located at 1801 Coral Way Ste 115, Miami FL 33145-2790. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Commcare Pharmacy Mia Llc can be contacted via phone (305) 854-5535, or through Dougherty, Richard via phone (954) 332-6170.

Contact Information

Primary practice address
1801 Coral Way Ste 115 Miami FL 33145-2790
Phone: (305) 854-5535
Fax: (305) 854-5929
Website:
Map and Directions
Authorized official contact:
Name: Dougherty, Richard
Phone: (954) 332-6170

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X PH21974 Florida

Profile Details

NPI number 1063423606
LBN Legal business name Commcare Pharmacy Mia Llc
DBA Doing business as Commcare Pharmacy Mia
Authorized official Dougherty, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063423606 NPPES
Florida MEDICAID 031649100
Florida Other 2006806

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