Organization
GREY DOG III, INC
Active
Other names
Jerry's West Kendall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD GEIST (PRESIDENT)
(305) 412-6707
Entity
Organization
Contact information
Practice address
15955 SW 96TH ST, SUITE 105, MIAMI, FL 33196-1271
(305) 752-0080
(305) 752-0065
Mailing address
15955 SW 96TH ST, SUITE 105, MIAMI, FL 33196-1271
(305) 752-0080
(305) 752-0065
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26201
FL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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