Organization
CHANG'S PHARMACY INC
Active
Other names
CHANG'S PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RAIZA RUIZ (PRESIDENT)
(305) 827-0642
Entity
Organization
Contact information
Practice address
2800 W 84TH ST UNIT 2, HIALEAH, FL 33018-4922
(305) 827-0642
(305) 827-8265
Mailing address
2800 W 84TH ST UNIT 2, HIALEAH, FL 33018-4922
(305) 827-0642
(305) 827-8265
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139607
PK
—
Enumeration date
03/14/2013
Last updated
07/13/2015
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