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Individual

MISS AMANDA LORENA BONILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
15000 SW 72ND ST, MIAMI, FL 33193-2301
(305) 387-1300
(305) 388-2310
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(800) 746-7287
(401) 652-0893

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS32276
FL

Other

Enumeration date
11/23/2020
Last updated
11/23/2020
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