Organization
ARY PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIEL BASULTO (PRESIDENT)
(786) 294-0570
Entity
Organization
Contact information
Practice address
4790 NW 7TH ST, SUITE # 106, MIAMI, FL 33126-2200
(786) 294-0570
(786) 360-5037
Mailing address
4790 NW 7TH ST, SUITE # 106, MIAMI, FL 33126-2200
(786) 294-0570
(786) 360-5037
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1466
NUMB
FL
Enumeration date
03/04/2013
Last updated
03/04/2013
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