Organization
TARARA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M CORTEGUERA (PRESIDENT)
(305) 545-7561
Entity
Organization
Contact information
Practice address
1160 W FLAGLER ST, MIAMI, FL 33130-1034
(305) 545-7561
(305) 545-0505
Mailing address
1160 W FLAGLER ST, MIAMI, FL 33130-1034
(305) 545-7561
(305) 545-0505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH1848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102105200
—
FL
01
—
PH0001848
STATE LICENSE NUMBER
FL
Enumeration date
12/02/2005
Last updated
08/28/2014
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