Organization
CONFIDENTIAL PHARMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE SOTO RPH (PHARMACIST IN CHARGE)
(305) 467-4868
Entity
Organization
Contact information
Practice address
645 W HALLANDALE BEACH BLVD STE 107, HALLANDALE BEACH, FL 33009-5345
(305) 570-1933
(305) 570-2433
Mailing address
645 W HALLANDALE BEACH BLVD STE 107, HALLANDALE BEACH, FL 33009-5345
(305) 570-1933
(305) 570-2433
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/28/2022
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