Organization
AVENTURA RX PHARMACY INC
Active
Other names
Aventura Rx Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JHON HURTADO (PRESIDENT)
(786) 942-4410
Entity
Organization
Contact information
Practice address
18749 W DIXIE HWY, MIAMI, FL 33180-2617
(786) 942-4410
Mailing address
3536 NE 168TH ST APT 507, MIAMI, FL 33160-3577
(786) 942-4410
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136219
PK
—
Enumeration date
07/24/2012
Last updated
03/28/2014
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