Organization
MIMED PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MILLER (OWNER / PHARMACIST)
(305) 733-0187
Entity
Organization
Contact information
Practice address
7758 NW 46TH ST, DORAL, FL 33166-5460
(305) 929-8473
(786) 409-7838
Mailing address
7758 NW 46TH ST, DORAL, FL 33166-5460
(305) 929-8473
(786) 409-7838
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH31826
COMMUNITY PHARMACY LICENSE NUMBER
FL
Enumeration date
01/05/2019
Last updated
01/05/2019
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