Organization
GREY DOG III, INC
Active
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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