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Organization
FONTAINEBLEAU DISCOUNT PHARMACY, INC.
Active
Organization
FONTAINEBLEAU DISCOUNT PHARMACY, INC.
Active
Other names
Nu-Mart Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA HERNANDEZ (OWNER)
(305) 226-6357
Entity
Organization
Contact information
Practice address
10690 FONTAINEBLEAU BLVD, MIAMI, FL 33172-3117
(305) 226-6357
Mailing address
10690 FONTAINEBLEAU BLVD, MIAMI, FL 33172-3117
(305) 226-6357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH15959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106381200
—
FL
Enumeration date
09/22/2006
Last updated
10/03/2008
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