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Organization
PHARMACY AT 100 NW 170TH ST, LLC
Active
Organization
PHARMACY AT 100 NW 170TH ST, LLC
Active
Other names
DPR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RAY (OWNER)
(917) 440-1529
Entity
Organization
Contact information
Practice address
15485 EAGLE NEST LN STE 230, MIAMI LAKES, FL 33014-2222
(917) 440-1529
Mailing address
15485 EAGLE NEST LN STE 230, MIAMI LAKES, FL 33014-2222
(917) 440-1529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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