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
About Stedi
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