Organization
1ST CLASS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DOMINGUEZ (OWNER)
(786) 703-9932
Entity
Organization
Contact information
Practice address
1516 E 4TH AVE, HIALEAH, FL 33010-3159
(786) 703-9932
(786) 903-9936
Mailing address
1516 E 4TH AVE, HIALEAH, FL 33010-3159
(786) 703-9932
(786) 903-9936
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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