Organization
MED-LAB COMPOUNDING
Active
Other names
MED LAB COMPOUNDING, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NEREYDA ROJAS (TECHNICIAN)
(786) 534-7533
Entity
Organization
Contact information
Practice address
9963 SW 142ND AVE, MIAMI, FL 33186-6844
(786) 534-7533
Mailing address
9963 SW 142 AVE, MIAMI, FL 33186
(786) 534-7533
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH28330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147240
PK
—
Enumeration date
08/22/2014
Last updated
11/20/2014
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