Organization
IDEAL RX PHARMACY INC
Active
Organization
IDEAL RX PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIAN LAFETTE DYETT (PRESIDENT)
(305) 687-4480
Entity
Organization
Contact information
Practice address
823 NW 119TH ST, NORTH MIAMI, FL 33168
(305) 687-4480
(305) 687-4464
Mailing address
823 NW 119TH ST, NORTH MIAMI, FL 33168
(305) 687-4480
(305) 687-4464
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19529
FL
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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