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CLOSED DOOR PHARMACY INC NPI 1295274066


NPI Information

NPI: 1295274066
Provider Name: CLOSED DOOR PHARMACY INC

Doing Business As: CLOSED DOOR PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1065 NE 125TH ST STE 207
NORTH MIAMI, FL
ZIP 33161
Phone: (786) 347-0365
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CLOSED DOOR PHARMACY INC is a long term care pharmacy pharmacy in North Miami, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CLOSED DOOR PHARMACY INC NPI is 1295274066. The provider is registered as an organization entity type.
The provider Is Doing Business As Closed Door Pharmacy.

The provider's business location address is:

1065 NE 125TH ST STE 207
NORTH MIAMI, FL
ZIP 33161-832
Phone: (786) 347-0365
Fax: (786) 347-0321

The provider's authorized official is Scott Segal .
The authorized official title is Ceo/president and has the following contact phone number (305) 891-0050.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPH30439FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12167828OTHERPK
2016594200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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