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Organization

COCONUT GROVE PHARMACY, INC

Active
Other names
Coconut Grove Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES LYONS RPH (MANAGER)
(305) 442-0211
Entity
Organization

Contact information

Practice address
3001 SW 27TH AVE, SUITE 102, COCONUT GROVE, FL 33133-4663
(305) 442-0211
(305) 442-8185
Mailing address
3001 SW 27TH AVE, SUITE 102, COCONUT GROVE, FL 33133-4663
(305) 442-0211
(305) 442-8185

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH23708
FL
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2117822
PK
Enumeration date
11/17/2008
Last updated
12/29/2015
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