Organization
LUCKY RX PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOURDES PAZ (PRESIDENT/OWNER)
(786) 317-7216
Entity
Organization
Contact information
Practice address
486 PALM AVE, HIALEAH, FL 33010
(786) 317-7216
Mailing address
486 PALM AVE, HIALEAH, FL 33010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28272
FL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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