Organization
PALM LAKES PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIA DEYSI PEREZ (PRESIDENT)
(305) 823-2885
Entity
Organization
Contact information
Practice address
3300 W 84TH ST, BAY #3, HIALEAH, FL 33018-4903
(305) 823-2885
(305) 823-2890
Mailing address
3300 W 84TH ST, BAY #3, HIALEAH, FL 33018-4903
(305) 823-2885
(305) 823-2890
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
APPLIED FOR
FL
Other
Enumeration date
12/08/2006
Last updated
11/05/2008
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