| Organization Name: | CORAL PHARMACY LLC |
| NPI Number: | 1013218460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ODELVYS DIAZ (PRESIDENT) |
| Mailing Address: | 5581 Sw 8th St Coral Gables |
| State: | FL US |
| Postal Code: | 331342219 |
| Phone Number: | 3052802722 |
| Fax Number: | 3056312918 |
| NPI Enumeration Date: | 11/16/2010 |
| NPI Last Update Date: | 11/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336S0011X |
| License Number: | PH24991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Specialty Pharmacy |
| Taxonomy Definition: | A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |