Organization
CTM PHARMACY INC
Active
Other names
CTM PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE AZAHARES (OWNER)
(305) 252-2056
Entity
Organization
Contact information
Practice address
18901 SW 106TH AVE STE 143, CUTLER BAY, FL 33157-7663
(305) 252-2056
(305) 252-2057
Mailing address
18901 SW 106TH AVE STE 143, CUTLER BAY, FL 33157-7663
(305) 252-2056
(305) 252-2057
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132812
PK
—
Enumeration date
11/29/2011
Last updated
06/03/2013
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