Organization
QUEENS PHARMACY, INC.
Active
Other names
QUEENS PHARMACY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE GUERRERO (PRESIDENT)
(786) 615-4467
Entity
Organization
Contact information
Practice address
281 NW 82ND AVE, MIAMI, FL 33126-8339
(786) 615-4467
(786) 615-4469
Mailing address
281 NW 82ND AVE, MIAMI, FL 33126-8339
(786) 615-4467
(786) 615-4469
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147235
PK
—
Enumeration date
08/11/2014
Last updated
08/11/2014
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