Organization
CLINICAL CARE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIER ALARCON (CFO)
(305) 534-0076
Entity
Organization
Contact information
Practice address
4765 W. 8TH AVENUE, SUITE 303, HIALEAH, FL 33012-3554
(786) 454-9852
(305) 556-6644
Mailing address
1400 NW 107TH AVENUE, SUITE 500, MIAMI, FL 33172
(786) 454-9852
(305) 556-6644
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108634100
—
FL
Enumeration date
11/30/2010
Last updated
07/02/2021
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