Organization
ECLIPSE PHARMACY CORP
Active
Organization
ECLIPSE PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO DE LA NOVAL (PRESIDENT)
(305) 381-5752
Entity
Organization
Contact information
Practice address
3498 NW 7TH ST, MIAMI, FL 33125-4014
(305) 381-5752
(305) 381-5525
Mailing address
3498 NW 7TH ST, MIAMI, FL 33125-4014
(305) 381-5752
(305) 381-5525
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2617
DRUG STORE
FL
Enumeration date
12/28/2018
Last updated
06/05/2020
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