Organization
EBONY DRUGS LLC
Active
Other names
Ebony Drugs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN HOWARD (RPH)
(305) 693-8886
Entity
Organization
Contact information
Practice address
6666 NW 15TH AVE, MIAMI, FL 33147-7967
(305) 693-8886
(305) 836-1657
Mailing address
6666 NW 15TH AVE, MIAMI, FL 33147-7967
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/03/2009
Last updated
03/25/2009
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