Organization
AQUA PHARMA INC
Active
Organization
AQUA PHARMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA RODRIGUEZ (PRESIDENT)
(305) 200-3149
Entity
Organization
Contact information
Practice address
2500 W FLAGLER ST, MIAMI, FL 33135-1423
(305) 200-3149
(305) 967-8409
Mailing address
2500 W FLAGLER ST, MIAMI, FL 33135-1423
(305) 200-3149
(305) 967-8409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26996
FL
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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