Organization
NOBIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINE IZUNOBI (PRESIDENT)
(305) 652-9600
Entity
Organization
Contact information
Practice address
65 NW 167TH ST, N MIAMI BEACH, FL 33169-6017
(305) 652-9600
(305) 652-8833
Mailing address
PO BOX 170332, HIALEAH, FL 33017-0332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH13377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075337
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/22/2006
Last updated
08/22/2020
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