Organization
GOLDEN OWL PHARMACY & DISCOUNT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLETY GUERRA (PRESIDENT)
(305) 263-6646
Entity
Organization
Contact information
Practice address
1874 SW 57TH AVE, MIAMI, FL 33155-2139
(305) 263-6646
(305) 263-6647
Mailing address
1874 SW 57TH AVE, MIAMI, FL 33155-2139
(305) 263-6646
(305) 263-6647
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44555
DOC NUMBER
FL
Enumeration date
01/12/2011
Last updated
05/10/2013
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