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1492 Pharma Group Corp — NPI 1417968058, South Miami, FL | NPI Central

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1492 Pharma Group Corp

NPI 1417968058 · Pharmacy · South Miami, FL

Provider details

NPI number: 1417968058
Entity type: Organization
Primary specialty: PharmacySuppliers
Authorized official: Sonia Martinez, President
License: PH22048 (FL)

Practice location

6420 Sw 62nd Ave

South Miami, FL 33143-3302

Phone: (305) 665-4411

Fax: (305) 663-3258

More FL providers

Mailing address

6420 Sw 62nd Ave

South Miami, FL 33143-3302

Registry dates

Enumerated: 2006-08-10
Last updated: 2022-12-12

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