Organization
ORLY PHARMACY 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIDET FERNANDEZ (VP)
(305) 642-4641
Entity
Organization
Contact information
Practice address
711 NW 23RD AVE, MIAMI, FL 33125-3298
(305) 642-4641
(305) 642-7701
Mailing address
711 NW 23RD AVE, MIAMI, FL 33125-3298
(305) 642-4641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH12537
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083271
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
03/10/2008
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