Malecon Pharmacy
LBN: Malecon Pharmacy Inc
Malecon Pharmacy is an health care organization with primary practice located at 5966 W 16Th Ave , Hialeah FL 33012-6814. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Malecon Pharmacy Inc can be contacted via phone (305) 558-8551, or through Solovyev, Andrey via phone (305) 558-8551.
Contact Information
Primary practice address
5966 W 16Th Ave
Hialeah FL 33012-6814
Phone: (305) 558-8551
Fax: (305) 558-8512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH6079 | Florida |
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1811034119 |
|---|---|
| LBN Legal business name | Malecon Pharmacy Inc |
| DBA Doing business as | Malecon Pharmacy |
| Authorized official | Solovyev, Andrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Apr 7th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811034119 | NPPES |
| Florida | MEDICAID | 003039900 | |
| Florida | MEDICAID | 103293300 | |
| Florida | MEDICAID | 103293301 | |
| Florida | Other | 2004325 |
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