Organization
PHARMACIE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODISA LANTIGUA (OWNER)
(786) 704-3536
Entity
Organization
Contact information
Practice address
13255 SW 137TH AVE STE 110, MIAMI, FL 33186-5327
(786) 592-1994
(786) 592-1538
Mailing address
13255 SW 137TH AVE STE 110, MIAMI, FL 33186-5327
(786) 592-1994
(786) 592-1538
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28973
FL
Other
Enumeration date
03/23/2015
Last updated
10/03/2016
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