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Pharmacy at 100 Nw 170th St, LLC — NPI 1215789946, Miami Lakes, FL | NPI Central

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NPI 1215789946

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Pharmacy at 100 Nw 170th St, LLC

NPI 1215789946 · Compounding Pharmacy · Miami Lakes, FL

Provider details

NPI number: 1215789946
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Richard Ray, Owner(917) 440-1529

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

15485 Eagle Nest Ln Ste 230

Miami Lakes, FL 33014-2222

Phone: (917) 440-1529

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

15485 Eagle Nest Ln Ste 230

Miami Lakes, FL 33014-2222

Other names (DBA / former)

Doing business as: Dpr Pharmacy

Registry dates

Enumerated: 2024-04-04
Last updated: 2024-04-04
Certified: 2024-04-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.