Organization
PURE PHARMACY LLC
Active
Other names
Pure Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MISHAL ALSABBAGH RPH (OWNER,PIC,AO)
(305) 903-0059
Entity
Organization
Contact information
Practice address
959 WEST AVE STE 16, MIAMI BEACH, FL 33139-5214
(305) 532-1300
(305) 532-1500
Mailing address
959 WEST AVE, SUITE #16, MIAMI BEACH, FL 33139-5201
(305) 532-1300
(305) 532-1500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128181
PK
—
Enumeration date
11/11/2010
Last updated
10/02/2015
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