Organization
LISMARAY LORA
Active
Other names
El Palenque Farmacia Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IDALMIS RODRIGUEZ (PRESIDENT)
(305) 889-3375
Entity
Organization
Contact information
Practice address
1133 W 29 ST, HIALEAH, FL 33012
(305) 889-3375
(305) 889-3376
Mailing address
1133 W 29 ST, HIALEAH, FL 33012
(305) 889-3375
(305) 889-3376
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
07/01/2008
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