Northwest Medical Pharmacy

LBN: Northwest Medical Pharmacy
Northwest Medical Pharmacy is an health care organization with primary practice located at 671 Nw 119Th St , North Miami FL 33168-2522. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Northwest Medical Pharmacy can be contacted via phone (954) 582-3602, or through Diaz, Ernesto via phone (305) 651-7074.

Contact Information

Primary practice address
671 Nw 119Th St North Miami FL 33168-2522
Phone: (954) 582-3602
Fax: (866) 396-9179
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Ernesto
Phone: (305) 651-7074

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH24054 Florida

Profile Details

NPI number 1073757852
LBN Legal business name Northwest Medical Pharmacy
DBA Doing business as Northwest Medical Pharmacy
Authorized official Diaz, Ernesto
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2009
Last updated Feb 17th, 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 1073757852 NPPES
Other 1053432 NCPDP PROVIDER IDENTIFICATION NUMBER

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