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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