Organization
FOREVER PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MOYA (PRESIDENT)
(305) 456-7625
Entity
Organization
Contact information
Practice address
710 SW 17TH AVE, MIAMI, FL 33135-5231
(305) 456-7625
(786) 558-8392
Mailing address
710 SW 17TH AVE, MIAMI, FL 33135-5231
(305) 456-7625
(786) 558-8392
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Enumeration date
05/28/2014
Last updated
05/28/2015
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