Organization
WELLNESS RX AT PENALVER LLC
Active
Other names
Wellness RX at Penalver
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL GARCIA (PHARMACY MANAGER)
(305) 545-4860
Entity
Organization
Contact information
Practice address
971 NW 2ND ST, MIAMI, FL 33128-1205
(305) 545-4860
(305) 545-4867
Mailing address
971 NW 2ND ST, MIAMI, FL 33128-1205
(305) 545-4860
(305) 545-4867
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 25805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708346
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/05/2011
Last updated
04/16/2012
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