Organization
IDEAL PHARMACY SERVICES LLC
Active
Organization
IDEAL PHARMACY SERVICES LLC
Active
Other names
Ideal Pharmacy Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL SIRI (PRESIDENT)
(786) 294-0472
Entity
Organization
Contact information
Practice address
4603 NW 7TH ST, MIAMI, FL 33126-2308
(786) 294-0472
(786) 294-0572
Mailing address
4603 NW 7TH ST, MIAMI, FL 33126-2308
(786) 294-0472
(786) 294-0572
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH 24425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002767500
—
FL
01
—
2119921
PK
—
Enumeration date
03/31/2009
Last updated
02/21/2017
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