Organization
PUMAR PHARMACY INC
Active
Other names
SWEETWATER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX FRANK NEGRIN (VICE PRESIDENT)
(305) 551-4177
Entity
Organization
Contact information
Practice address
528 SW 109TH AVE, MIAMI, FL 33174-1336
(305) 552-0166
(305) 552-0168
Mailing address
528 SW 109TH AVE, MIAMI, FL 33174-1336
(305) 552-0166
(305) 552-0168
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH8965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101518400
—
FL
01
—
1022007
OTHER ID NUMBER
—
Enumeration date
02/02/2007
Last updated
08/13/2009
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