Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Pharma Corp

Organization Community/Retail Pharmacy · NPI 1962123778

Life Pharma Corp is a Community/Retail Pharmacy in Miami, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1109 NW 22nd Ave
Miami, FL 33125
Phone: (305) 646-1111
Fax: (786) 703-1242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1962123778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Hernandez Lara — President · (305) 646-1111
NPI enumeratedSeptember 9, 2022
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address1109 Nw 22nd Ave, Miami, FL 33125

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