Provider Demographics
NPI:1376540914
Name:MARE, INC.
Entity Type:Organization
Organization Name:MARE, INC.
Other - Org Name:MARE PHARMACY AND DISCOUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:NELIDA
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-823-0915
Mailing Address - Street 1:5350 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2746
Mailing Address - Country:US
Mailing Address - Phone:305-823-0915
Mailing Address - Fax:305-823-4055
Practice Address - Street 1:5350 PALM AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2746
Practice Address - Country:US
Practice Address - Phone:305-823-0915
Practice Address - Fax:305-823-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH9053183500000X, 333600000X, 3336C0003X
FL022474001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacyGroup - Multi-Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022474000Medicaid
PH9053OtherPHARMACY LICENSE
PH9053OtherPHARMACY LICENSE
PH9053OtherPHARMACY LICENSE