Organization
METOMA CORPORATION
Active
Other names
CASTILLA 87 PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES ABREU (PRESIDENT)
(305) 551-7778
Entity
Organization
Contact information
Practice address
890 SW 87TH AVE, MIAMI, FL 33174-3245
(305) 551-7778
(305) 551-4389
Mailing address
890 SW 87TH AVE, MIAMI, FL 33174-3245
(305) 551-7778
(305) 551-4389
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH19334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026078900
—
FL
01
—
1072824
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/15/2012
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