Organization
FRONTIER PHARMACIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN GALLINAL (PRESIDENT)
(954) 790-9555
Entity
Organization
Contact information
Practice address
12399 SW 53RD ST, 105, COOPER CITY, FL 33330-3308
(877) 434-3329
(954) 337-0365
Mailing address
12399 SW 53RD ST, 105, COOPER CITY, FL 33330-3308
(877) 434-3329
(954) 337-0365
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19752
FL
Other
Enumeration date
02/21/2007
Last updated
03/05/2008
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