Organization
VIVI PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARO DEL RIO (PRESIDENT)
(305) 456-5236
Entity
Organization
Contact information
Practice address
1250 NW 7TH ST, 101-102, MIAMI, FL 33125-3744
(305) 456-6347
(305) 456-6347
Mailing address
1250 NW 7TH ST, 101-102, MIAMI, FL 33125-3744
(305) 456-6347
(305) 456-6347
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH25553
PHARMACY
FL
Enumeration date
09/23/2011
Last updated
09/10/2012
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