Organization
VIP PHARMACY INC
Active
Other names
Indigo Generics, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE GRESS (OWNER)
(305) 961-1629
Entity
Organization
Contact information
Practice address
5669 NW 195TH DR, MIAMI GARDENS, FL 33055-6112
(305) 961-1629
(305) 623-3858
Mailing address
5669 NW 195TH DR, MIAMI GARDENS, FL 33055-6112
(305) 961-1629
(305) 623-3858
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5704057
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/01/2011
Last updated
02/08/2011
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