Organization
AQUA PHARMACY INC
Active
Other names
AQUA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
AGUSTIN DE CARDENAS (OWNER)
(786) 525-9016
Entity
Organization
Contact information
Practice address
4243 W FLAGLER ST, CORAL GABLES, FL 33134-1605
(786) 409-7503
(786) 409-7516
Mailing address
4243 W FLAGLER ST, CORAL GABLES, FL 33134-1605
(786) 409-7503
(786) 409-7516
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147892
PK
—
Enumeration date
09/17/2014
Last updated
09/17/2014
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