Individual
AILEEN VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8831 SW 136TH ST, MIAMI, FL 33176-5816
(305) 233-0296
Mailing address
8831 SW 136TH ST, MIAMI, FL 33176-5816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49473
FL
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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