Palm Lakes Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

APPLIED FOR Issued in FL

Legal business name

PALM LAKES PHARMACY, INC.

Practice address

3300 W 84TH St
Bay #3
Hialeah, FL 33018-4903

Phone

(305) 823-2885

Fax

(305) 823-2890

NPI assigned

Dec 8, 2006

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rosalia Deysi Perez

Title

President

Phone

(305) 823-2885

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1285793828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W 84TH ST",
            "address_2": "BAY #3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184903",
            "telephone_number": "305-823-2885",
            "fax_number": "305-823-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W 84TH ST",
            "address_2": "BAY #3",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184903",
            "telephone_number": "305-823-2885",
            "fax_number": "305-823-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM LAKES PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROSALIA",
        "authorized_official_middle_name": "DEYSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-823-2885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Pharmacy

• Community/Retail Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.