Organization
ST MOSES PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANNET JURE (PRESIDENT)
(305) 244-1999
Entity
Organization
Contact information
Practice address
11629 SW 216TH ST, MIAMI, FL 33170-2908
(305) 969-9193
(305) 969-9392
Mailing address
11629 SW 216TH ST, MIAMI, FL 33170-2908
(305) 969-9193
(305) 969-9392
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26352
FL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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