Organization
LUMI PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTY DE ARMAS (PRESIDENT)
(305) 888-6755
Entity
Organization
Contact information
Practice address
261 WESTWARD DR, SUITE 108-109, MIAMI SPRINGS, FL 33166-5290
(305) 888-6755
(305) 888-9722
Mailing address
261 WESTWARD DR, SUITE 108-109, MIAMI SPRINGS, FL 33166-5290
(305) 888-6755
(305) 888-9722
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH26424
RETAIL COMMUNITY
FL
Enumeration date
11/06/2012
Last updated
07/31/2013
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