Organization
ASIS PHARMACY. INC. ASIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE E LOREDO (PRESIDENT/CO-OWNER)
(305) 642-2430
Entity
Organization
Contact information
Practice address
1061 SW 27TH AVE., MIAMI, FL 33135-2442
(305) 642-2430
(305) 642-2432
Mailing address
1061 SW 27TH AVE, MIAMI, FL 33135-4614
(305) 642-2430
(305) 642-2432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH6186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104096100
—
FL
01
—
PH6186
PHARMACY LICENSE
FL
Enumeration date
09/21/2005
Last updated
06/18/2008
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