Organization
VERSALLES PHARMACY INC
Active
Organization
VERSALLES PHARMACY INC
Active
Other names
VERSALLES PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO PAEZ (PRESIDENT)
(305) 456-7333
Entity
Organization
Contact information
Practice address
3526 W FLAGLER ST, MIAMI, FL 33135-1028
(305) 456-7333
(305) 456-3938
Mailing address
3526 W FLAGLER ST, MIAMI, FL 33135-1028
(305) 456-7333
(305) 456-3938
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143175
PK
—
Enumeration date
11/25/2013
Last updated
02/13/2014
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