Coconut Grove Pharmacy, Inc
Organization Active NPI Community/Retail Pharmacy · Coconut Grove, FL
NPI 1194979286 · NPPES record last updated Dec 29, 2015
Key facts
- NPI
- 1194979286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH23708 (FL)
- Legal business name
- COCONUT GROVE PHARMACY, INC
- Practice address
- 3001 SW 27TH Ave
Suite 102
Coconut Grove, FL 33133-4663 - Phone
- (305) 442-0211
- Fax
- (305) 442-8185
- NPI assigned
- Nov 17, 2008
- Organization subpart
- No
Authorized official
- Name
- James Lyons, RPH
- Title
- Manager
- Phone
- (305) 442-0211
Practitioners 1
National Provider Directory
Locations
3001 SW 27th Ave
Ste 102
Miami, FL 33133
Phone (305) 442-0211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH23708 | FL | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3001 SW 27TH Ave
Suite 102
Coconut Grove, FL 33133-4663
Mailing address
3001 SW 27TH Ave
Suite 102
Coconut Grove, FL 33133-4663
Phone (305) 442-0211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2117822 | Other | PK |
Other names
- Coconut Grove Pharmacy
Other providers in Coconut Grove, FL
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- Cerver Pharmacy Corp.
- Cmap Interpretive Services, Florida, P.a.
- Coconut Grove Center Inc
- Coconut Grove Chiropractic, Inc
- Xiomara Contreras
- Raul A Cortes
- Odalys Cueto
- Ingrid D'Aquin
- Rita Dargham
All providers in Coconut Grove, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.