Organization
TAJOSE LLC
Active
Other names
HEART MED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MARQUEZ (C.F.O)
(305) 594-9899
Entity
Organization
Contact information
Practice address
2351 NW 93RD AVE, DORAL, FL 33172-4811
(305) 594-9899
(305) 594-9821
Mailing address
2351 NW 93RD AVE, DORAL, FL 33172-4811
(305) 594-9899
(305) 594-9821
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH21208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028463700
—
FL
Enumeration date
10/14/2008
Last updated
10/14/2008
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