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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