Organization
ATLANTIS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET RODRIGUEZ CLAVERO (PRESIDENT)
(305) 265-0001
Entity
Organization
Contact information
Practice address
136 NW 57TH AVE, MIAMI, FL 33126-4805
(305) 265-0001
(305) 265-0050
Mailing address
136 NW 57TH AVE, MIAMI, FL 33126-4805
(305) 265-0001
(305) 265-0050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1589
NUMB
FL
Enumeration date
03/13/2013
Last updated
03/13/2013
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