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1492 Pharma Group Corp
Compounding Pharmacy in South Miami, Florida
NPI 1417968058

1492 Pharma Group Corp is a Compounding Pharmacy based in South Miami, FL and is specialized in Compounding Pharmacy. 1492 Pharma Group Corp practices in South Miami, FL. The NPI Number for 1492 Pharma Group Corp is 1417968058 and holds a License No. (Florida).

The current practice location address for 1492 Pharma Group Corp is 6420 Sw 62Nd Ave, South Miami, FL and can be reached out via phone at 305-665-4411 and via fax at 305-663-3258.

Location: 6420 Sw 62Nd Ave, South Miami, FL, 33143-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417968058
Provider Name
1492 Pharma Group Corp
Credential
Provider Entity Type
Organization
Address
6420 Sw 62Nd Ave, South Miami, FL, 33143-3302
Phone Number
305-665-4411
Fax Number
305-663-3258
Provider Enumeration Date
08/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007260700 05 FL
019180600 05 FL
institution
Provider Business Practice Location Address Details
Address
6420 Sw 62Nd Ave
City
South Miami
State
Florida
Zip
33143-3302
Phone Number
305-665-4411
Fax Number
305-663-3258
person
Provider Business Mailing Address Details
Address
6420 Sw 62Nd Ave
City
South Miami
State
Florida
Zip
33143-3302
Phone Number
305-665-4411
Fax Number
305-663-3258
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PH22048 (Florida)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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