Organization
LA FARMACIA BUENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SMITH (PRESIDENT)
(305) 123-4567
Entity
Organization
Contact information
Practice address
123 MAIN ST, SUITE 1, MIAMI, FL 33125
(305) 123-4567
(305) 123-4567
Mailing address
123 MAIN ST, SUITE 1, MIAMI, FL 33125
(305) 123-4567
(305) 123-4567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH12345
FL
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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