Organization
BUENO PHARMACY LLC
Active
Other names
Bueno Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MALDONADO (MRG)
(646) 202-3418
Entity
Organization
Contact information
Practice address
2921 S ORLANDO DR STE 130, SANFORD, FL 32773-4106
(646) 202-3418
Mailing address
2921 S ORLANDO DR STE 130, SANFORD, FL 32773-4106
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024865100
—
FL
Enumeration date
02/08/2018
Last updated
06/06/2025
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