Organization
LIZMAR OF SOUTH FLORIDA
Active
Organization
LIZMAR OF SOUTH FLORIDA
Active
Other names
LIZMAR OF SOUTH FLORDIA
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELA CABRERA (OWNER)
(305) 436-9460
Entity
Organization
Contact information
Practice address
9676 NW 25TH ST, DORAL, FL 33172-1403
(305) 436-9460
(305) 436-9662
Mailing address
9676 NW 25TH ST, DORAL, FL 33172-1403
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032541
OTHER ID NUMBER
—
Enumeration date
02/19/2008
Last updated
02/19/2008
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