Organization
VILLA PHARMACY
Active
Other names
VILLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WYNDA VEGA (PRESIDENT)
(786) 536-5358
Entity
Organization
Contact information
Practice address
14285 SW 42ND ST, MIAMI, FL 33175-6410
(786) 536-5358
(786) 536-5361
Mailing address
14285 SW 42ND ST, MIAMI, FL 33175-6410
(786) 536-5358
(786) 536-5361
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144753
PK
—
Enumeration date
04/22/2014
Last updated
04/22/2014
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