Organization
DIAMOND PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORIETTA DEL REAL (PHARMACIST MANAGER)
(786) 439-9796
Entity
Organization
Contact information
Practice address
13911 SW 42ND ST STE 202, MIAMI, FL 33175-6407
(305) 960-7104
Mailing address
13911 SW 42ND ST STE 202, MIAMI, FL 33175-6407
(305) 960-7104
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PH28836
FL
Other
Enumeration date
01/26/2015
Last updated
04/16/2015
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