Organization
PRICE CHOICE PHARMACY 2
Active
Other names
Price Choice Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
EMERSON MOLINA (MANAGING MEMBER)
(305) 517-1412
Entity
Organization
Contact information
Practice address
4500 NW 183RD ST, MIAMI GARDENS, FL 33055-3045
(305) 517-1412
(305) 851-3104
Mailing address
4500 NW 183RD ST, MIAMI GARDENS, FL 33055-3045
(305) 517-1412
(305) 851-3104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707572
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/16/2011
Last updated
10/08/2012
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