Organization
SUSY'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA GONGORA RPT55235 (PRESIDENT)
(786) 797-4943
Entity
Organization
Contact information
Practice address
12887 SW 42 ST, MIAMI, FL 33175
(786) 616-8668
(786) 616-8683
Mailing address
12887 SW 42 ST, MIAMI, FL 33175
(786) 616-8668
(786) 616-8683
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28182
FL
Other
Enumeration date
06/02/2014
Last updated
02/13/2015
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