Organization
POLARIS PHARMACY CORP
Active
Other names
LIMAS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YADER PADILLA (PRESIDENT)
(305) 485-8787
Entity
Organization
Contact information
Practice address
10845 SW 40TH ST, MIAMI, FL 33165-4410
(305) 485-8787
(305) 554-6320
Mailing address
10845 SW 40TH ST, MIAMI, FL 33165-4410
(305) 485-8787
(305) 554-6320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH17233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026531400
—
FL
01
—
1089766
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/28/2006
Last updated
06/16/2010
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