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Organization
WALMART 3183
Active
Organization
WALMART 3183
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG P FISK RPH (PHARMACIST)
(305) 910-2558
Entity
Organization
Contact information
Practice address
14030 SW 74TH ST, MIAMI, FL 33183-3131
(305) 910-2558
(305) 910-2530
Mailing address
1499 S DIXIE HIGHWAY, HOMESTEAD, FL 33030
(305) 910-2558
(305) 910-2530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS22035
FL
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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