Organization
OPTIMUN RX PHARMACY LLC.
Active
Other names
Optimun Rx Pharmacy LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISLEIDYS GONZALEZ (OWNER / PRESIDENT)
(786) 873-0833
Entity
Organization
Contact information
Practice address
6900 WEST 32 AVE STE #16, HIALEAH, FL 33018
(305) 557-4995
(305) 557-4074
Mailing address
6900 WEST 32 AVE STE #16, HIALEAH, FL 33018
(305) 557-4995
(305) 557-4074
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH28374
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147201
PK
—
Enumeration date
08/14/2014
Last updated
01/07/2015
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