Organization
VICTORY PHARMACY CORPORATION
Active
Other names
Victory Pharmacy Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
GRETHEL ROJAS (PRESIDENT/OWNER)
(786) 542-5670
Entity
Organization
Contact information
Practice address
1003 SW 67TH AVE, WEST MIAMI, FL 33144-4757
(786) 542-5670
(786) 542-5673
Mailing address
1003 SW 67TH AVE, WEST MIAMI, FL 33144-4757
(786) 542-5670
(786) 542-5673
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139010
PK
—
Enumeration date
02/25/2013
Last updated
12/08/2014
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