Organization
VEDADO PHARMACY CORP
Active
Other names
Vedado Pharmacy Corp
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIAN RODRIGUEZ (MANAGER)
(305) 812-2507
Entity
Organization
Contact information
Practice address
14637 SW 56TH ST, MIAMI, FL 33175-5703
(305) 226-1452
(305) 226-1652
Mailing address
14637 SW 56TH ST, MIAMI, FL 33175-5703
(305) 226-1452
(305) 226-1652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136456
PK
—
Enumeration date
08/13/2012
Last updated
09/24/2013
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