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Individual

AMRY VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1015
(954) 844-6280
(954) 844-6286
Mailing address
601 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1015
(954) 844-6280
(954) 844-6286

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS45203
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS45203
BOH LICENSE NUMBER
FL
Enumeration date
12/23/2020
Last updated
12/23/2020
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