Organization
REINA'S PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDILSIS MANRESA (PRESIDENT)
(786) 534-9684
Entity
Organization
Contact information
Practice address
9835 SW 72ND ST STE 109, MIAMI, FL 33173-4648
(786) 534-9684
(786) 534-9685
Mailing address
9835 SW 72ND ST STE 109, MIAMI, FL 33173-4648
(786) 534-9684
(786) 534-9685
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH287621
FL
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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