Organization
TONAIS PHARMACY AND SURGICAL SUPPLY STORE INC
Active
Other names
Tonais Pharmacy and Surgical Supply Store Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA I RODRIGUEZ (PRESIDENT/CEO)
(305) 261-4710
Entity
Organization
Contact information
Practice address
5851 W FLAGLER ST, MIAMI, FL 33144-3316
(305) 261-4710
(305) 261-4720
Mailing address
5851 W FLAGLER ST, MIAMI, FL 33144-3316
(305) 261-4710
(305) 261-4720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701962
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2010
Last updated
03/23/2012
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