Mar-lac Pharmacy Discount & Supply Corp
Community/Retail Pharmacy
1109 Nw 22nd Ave, Miami
Florida, 33125-2738
305-631-6602 305-631-6603
Mar-lac Pharmacy Discount & Supply Corp is a Community/Retail Pharmacy in Miami, Florida. It is located at 1109 Nw 22nd Ave, Miami and it's customer support contact number is 305-631-6602. The authorized person of Mar-lac Pharmacy Discount & Supply Corp is Ernesto Diaz who is President of the pharmacy and his contact number is 305-631-6602. Active license number of Mar-lac Pharmacy Discount & Supply Corp is PH23601 for Community/Retail Pharmacy in Florida. Mar-lac Pharmacy Discount & Supply Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mar-lac Pharmacy Discount & Supply Corp is 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.
Pharmacy Details:
Mar-lac Pharmacy Discount & Supply Corp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mar-lac Pharmacy Discount & Supply Corp |
| Type: | Community/Retail Pharmacy |
| Location: | 1109 Nw 22nd Ave, Miami,
Florida, 33125-2738 |
| Phone: | 305-631-6602 |
| Fax: | 305-631-6603 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ernesto Diaz |
| Position: | President |
| Contact Number: | 305-631-6602 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417108184 |
| NPI Enumeration Date: | 30 Sep, 2008 |
| NPI Last Update On: | 15 Aug, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mar-lac Pharmacy Discount & Supply Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH23601 | Florida | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2126986 | Other | | Pk |
Medicare Enrollment:
Mar-lac Pharmacy Discount & Supply Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2961609334 | O20100930071673 | Mar-lac Pharmacy Discount & Supply Corp | DME SUPPLIER - PHARMACY |
Products Available:
Mar-lac Pharmacy Discount & Supply Corp has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Dynamic Splints |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Ostomy Supplies |
| • Urological Supplies | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1109 Nw 22nd Ave,
Miami, Florida |
| Zip: | 33125-2738 |
| Phone Number: | 305-631-6602 |
| Fax Number: | 305-631-6603 |
Patients can reach Mar-lac Pharmacy Discount & Supply Corp at
1109 Nw 22nd Ave, Miami, Florida or can
call on customer care at 305-631-6602.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.