Organization
XCELLENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYMED GONZALEZ (PRESIDENT)
(305) 229-1496
Entity
Organization
Contact information
Practice address
11880 SW 40TH ST, SUITE 119, MIAMI, FL 33175-3584
(305) 229-1496
(305) 229-1497
Mailing address
11880 SW 40TH ST, SUITE 119, MIAMI, FL 33175-3584
(305) 229-1496
(305) 229-1497
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22638
FL
Other
Enumeration date
04/16/2007
Last updated
06/16/2009
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