Organization
FARMACIA JULIA DISCOUNT #2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO NEGRIN II (OWNER)
(305) 448-6523
Entity
Organization
Contact information
Practice address
3197 SW 18TH ST, MIAMI, FL 33145-1803
(305) 448-6523
(305) 444-1535
Mailing address
3197 SW 18TH ST, MIAMI, FL 33145-1803
(305) 448-6523
(305) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028207300
—
FL
01
—
028207301
MEDICAID DME
—
Enumeration date
11/03/2006
Last updated
08/27/2014
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