Organization
WESTERN PHARMACY CORP
Active
Other names
WESTERN PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
DUVALL GARRIDO (PRESIDENT)
(305) 469-7756
Entity
Organization
Contact information
Practice address
1609 SW 67TH AVE, MIAMI, FL 33155-1827
(786) 536-7847
(786) 536-7675
Mailing address
1609 SW 67TH AVE, MIAMI, FL 33155-1827
(786) 536-7847
(786) 536-7675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146271
PK
—
Enumeration date
05/17/2014
Last updated
09/12/2014
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