Organization
BURGOS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIBET BURGOS (PHARMACY MANAGER)
(305) 374-9003
Entity
Organization
Contact information
Practice address
9527 SW 40TH ST, MIAMI, FL 33165-4035
(305) 374-9003
(305) 374-9034
Mailing address
9527 SW 40TH ST, MIAMI, FL 33165-4035
(305) 374-9003
(305) 374-9034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8196810001
MEDICARE NSC
FL
Enumeration date
12/16/2019
Last updated
05/22/2024
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