Organization
CVX GONZALEZ INC
Active
Other names
CVX GONZALEZ INC
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON GONZALEZ (PRESIDENT)
(305) 244-0170
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 260, DORAL, FL 33122-1088
(305) 244-0170
(305) 834-4801
Mailing address
2500 NW 79TH AVE, SUITE 260, DORAL, FL 33122-1073
(305) 244-0170
(305) 834-4801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH 24828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707368
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/02/2011
Last updated
09/19/2011
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