1492 Pharma Group Corp
Pharmacy in South Miami, FL. Organization (NPI-2).
NPI number1417968058
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1417968058
- Entity type
- Organization (NPI-2)
- Legal business name
- 1492 Pharma Group Corp
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH22048 | FL | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- Marco Drugs And Compounding (Doing Business As)
Practice location
6420 Sw 62nd AveSouth Miami, FL 33143-3302
Phone 305-665-4411 · Fax 305-663-3258
Mailing address
6420 Sw 62nd AveSouth Miami, FL 33143-3302
Phone 305-665-4411 · Fax 305-663-3258
Authorized official
Sonia Elena Martinez
President
3056654411
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