Organization
MAIK PHARMACY CORP
Active
Organization
MAIK PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICEL PUENTES (PRESIDENT)
(305) 874-0165
Entity
Organization
Contact information
Practice address
10521 SW 40TH ST., SUITE 102, MIAMI, FL 33165
(305) 874-0165
(305) 874-0166
Mailing address
10521 SW 40TH ST., SUITE 102, MIAMI, FL 33165
(305) 874-0165
(305) 874-0166
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102
NUMB
FL
Enumeration date
07/08/2019
Last updated
04/08/2021
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