Organization
LA BOTICA PHARMACY INC NO2
Active
Organization
LA BOTICA PHARMACY INC NO2
Active
Other names
La Botica Pharmacy Inc No2
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIL GARCIA (OWNER)
(786) 873-9108
Entity
Organization
Contact information
Practice address
1159 W 29TH ST, HIALEAH, FL 33012-5063
(786) 360-2589
(786) 542-0279
Mailing address
1159 W 29TH ST, HIALEAH, FL 33012-5063
(786) 360-2589
(786) 542-0279
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146043
PK
—
Enumeration date
06/02/2014
Last updated
10/16/2014
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