Organization
OPTIMUN RX PHARMACY LLC
Active
Other names
optimun rx pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILA VAZQUEZ DE LLADO (OWNER)
(305) 557-4995
Entity
Organization
Contact information
Practice address
6900 W 32ND AVE STE 16, HIALEAH, FL 33018-5228
(305) 557-4995
(305) 557-4074
Mailing address
6900 W 32ND AVE STE 16, HIALEAH, FL 33018-5228
(305) 557-4995
(305) 557-4074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH 28374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152915
PK
—
Enumeration date
05/26/2015
Last updated
07/02/2015
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