Organization
ITABO PHARMACY
Active
Organization
ITABO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA TRAVERS (PRESIDENT)
(305) 916-9174
Entity
Organization
Contact information
Practice address
237 NW 12TH AVE, STE C, MIAMI, FL 33128-1080
(305) 916-9174
(305) 228-0448
Mailing address
237 NW 12TH AVE, STE C, MIAMI, FL 33128-1080
(305) 916-9174
(305) 228-0448
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29397
FL
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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