Organization
SOUTH PACIFIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS ARAGON (PRESIDENT OWNER)
(305) 642-0180
Entity
Organization
Contact information
Practice address
1800 SW 1ST ST, SUITE 101, MIAMI, FL 33135-1960
(305) 642-0180
(305) 642-0190
Mailing address
1800 SW 1ST ST, SUITE 101, MIAMI, FL 33135-1960
(305) 642-0180
(305) 642-0190
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH24055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24055
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
11/05/2012
Last updated
11/05/2012
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