Organization
MI KOSITA INC
Active
Other names
MIKIMBIN PHARMACY AND DISCOUNT
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ ROCH (PRESIDENT)
(305) 491-2189
Entity
Organization
Contact information
Practice address
2296 SW 8TH ST, MIAMI, FL 33135-4914
(305) 644-3968
(305) 644-3969
Mailing address
2296 SW 8TH ST, MIAMI, FL 33135-4914
(305) 644-3968
(305) 644-3969
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016559
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2006
Last updated
11/24/2009
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