Organization
GREAT CARE PHARMACY INC
Active
Other names
GREAT CARE PHARMACY #2
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL NWOFOR (PRESIDENT/PHARMACY MANAGER)
(954) 249-9235
Entity
Organization
Contact information
Practice address
2505 NW 54TH ST, MIAMI, FL 33142-2947
(305) 636-2994
(305) 636-2899
Mailing address
2505 NW 54TH ST, MIAMI, FL 33142-2947
(305) 636-2994
(305) 636-2899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007189100
—
FL
01
—
2137283
PK
—
Enumeration date
10/08/2012
Last updated
04/13/2017
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