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Organization
MI HAVANA PHARMACY & DISCOUNT
Active
Organization
MI HAVANA PHARMACY & DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER A FERNANDEZ (OWNER)
(305) 631-0004
Entity
Organization
Contact information
Practice address
200 NW 27TH AVE, MIAMI, FL 33125-5116
(305) 631-0004
(305) 631-1880
Mailing address
200 NW 27TH AVE, MIAMI, FL 33125-5116
(305) 631-0004
(305) 631-1880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH19751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002649
NABP/NCPDP
FL
Enumeration date
06/15/2005
Last updated
08/22/2020
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