Organization
FIGUEROA PHARMACY
Active
Other names
COUNTRY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AYMED GONZALEZ (STORE MANAGER)
(305) 254-0454
Entity
Organization
Contact information
Practice address
14449 COUNTRY WALK DR, MIAMI, FL 33186-8104
(305) 254-0454
(305) 254-0476
Mailing address
14449 COUNTRY WALK DR, MIAMI, FL 33186-8104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014810
OTHER ID NUMBER
—
Enumeration date
11/28/2005
Last updated
09/13/2007
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