Organization
HIALEAH PHARMACY INC.
Active
Organization
HIALEAH PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA RODRIGUEZ (OWNER/PRESIDENT)
(305) 882-7074
Entity
Organization
Contact information
Practice address
791 W 29TH ST, HIALEAH, FL 33012-5605
(305) 882-7074
(305) 882-7094
Mailing address
791 W 29TH ST, HIALEAH, FL 33012-5605
(305) 882-7074
(305) 882-7094
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026978600
—
FL
05
—
0269786001
—
FL
Enumeration date
09/22/2006
Last updated
11/08/2011
Update your record
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