Individual
ALBERTO C FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
944 N KROME AVE, HOMESTEAD, FL 33030-4409
(305) 247-4488
Mailing address
26521 SW 173RD PL, HOMESTEAD, FL 33031-2323
(305) 246-0185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0016791
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0016791
PHARMACIST LICENSE
FL
Enumeration date
11/15/2006
Last updated
11/30/2007
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