Organization
HUMANITARY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID LICEA (OWNER)
(305) 263-6773
Entity
Organization
Contact information
Practice address
4152 SW 74TH CT, MIAMI, FL 33155-4414
(305) 263-6773
(305) 263-6774
Mailing address
4152 SW 74TH CT, MIAMI, FL 33155-4414
(305) 263-6773
(305) 263-6774
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006914
OTHER ID NUMBER
—
Enumeration date
09/28/2006
Last updated
09/11/2012
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