Organization
AVENTURA RX PHARMACY INC
Active
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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