Organization
STAYWELL RX PHARMACY LLC
Active
Organization
STAYWELL RX PHARMACY LLC
Active
Other names
Staywell Rx Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMARILYS ESTOPINAN (OWNER)
(305) 262-8297
Entity
Organization
Contact information
Practice address
7209 CORAL WAY, MIAMI, FL 33155-1401
(305) 262-8297
(305) 262-8299
Mailing address
7209 CORAL WAY, MIAMI, FL 33155-1401
(305) 262-8297
(305) 262-8299
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28634
FL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148661
PK
—
Enumeration date
10/17/2014
Last updated
07/07/2015
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