Organization
AB PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REINALDO QUINTERO (PRESIDENT OWNER)
(305) 649-2180
Entity
Organization
Contact information
Practice address
1956 WEST FLAGEN STREET, MIAMI, FL 33135-1615
(305) 649-2180
(305) 649-9672
Mailing address
1956 WEST FLAGEN STREET, MIAMI, FL 33135-1615
(305) 649-2180
(305) 649-9672
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH21720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02666710
—
FL
01
—
1003350
NCPDP
—
01
—
PH21720
PHARMACY LICENSE
—
Enumeration date
11/14/2006
Last updated
08/22/2020
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