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Organization
SPRING DRUG STORE, INC
Active
Organization
SPRING DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIEL BASULTO (REGISTER AGENT)
(305) 863-7333
Entity
Organization
Contact information
Practice address
450 NE 125TH ST, NORTH MIAMI, FL 33161-4754
(305) 863-7333
(305) 863-7399
Mailing address
450 NE 125TH ST, NORTH MIAMI, FL 33161-4754
(305) 863-7333
(305) 863-7399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3336C0003X
FL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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