Mortar & Pestle The Boutique Pharmacy

LBN: Mortar & Pestle Pharmacy Inc
Mortar & Pestle The Boutique Pharmacy is an health care organization with primary practice located at 12920 Sw 119Th St , Miami FL 33186-4506. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mortar & Pestle Pharmacy Inc can be contacted via phone (305) 603-9958, or through Silva, Mercedes via phone (305) 775-9021.

Contact Information

Primary practice address
12920 Sw 119Th St Miami FL 33186-4506
Phone: (305) 603-9958
Fax: (305) 603-9958
Website:
Map and Directions
Authorized official contact:
Name: Silva, Mercedes BS PHARM RPH
Phone: (305) 775-9021

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH22625 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1689757726
LBN Legal business name Mortar & Pestle Pharmacy Inc
DBA Doing business as Mortar & Pestle The Boutique Pharmacy
Authorized official Silva, Mercedes BS PHARM RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 8th, 2012 - about 14 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 1689757726 NPPES
Other 1022728 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 031999600 NCPDP PROVIDER IDENTIFICATION NUMBER

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