Organization
PRESTIAGE PHARMACY AND MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDANIA ENRIQUE (PRESSIDENT)
(305) 558-3848
Entity
Organization
Contact information
Practice address
2150 W 76TH ST, SUITE 106, HIALEAH, FL 33016-1882
(305) 558-3848
(305) 558-3849
Mailing address
2150 W 76TH ST, SUITE 106, HIALEAH, FL 33016-1882
(305) 558-3848
(305) 558-3849
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH24585
FL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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