Organization
SPEED II PHAMACY
Active
Other names
Speed II Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GUIDO DE LA TORRE (PRESIDENT)
(954) 325-2551
Entity
Organization
Contact information
Practice address
2900 W 12TH AVE STE 4, HIALEAH, FL 33012-4861
(786) 310-7845
(786) 310-7851
Mailing address
2900 W 12TH AVE STE 4, HIALEAH, FL 33012-4861
(786) 310-7845
(786) 310-7851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710086
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/29/2012
Last updated
11/01/2012
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