Organization
LUCKY PHARMS INC
Active
Other names
Campo Rico Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN VIVIAN DAVIS (OWNER)
(305) 762-5521
Entity
Organization
Contact information
Practice address
8390 W FLAGLER ST STE 201A, MIAMI, FL 33144-2039
(305) 762-5521
(305) 433-4113
Mailing address
8390 W FLAGLER ST STE 201A, MIAMI, FL 33144-2039
(305) 762-5521
(305) 433-4113
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH24825
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701619
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2010
Last updated
05/01/2026
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