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Organization

PHARMA SOURCE DME,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ESTELA PINNAVARIA RPH (PHARMACIST)
(305) 899-0943
Entity
Organization

Contact information

Practice address
14045 W DIXIE HWY, NORTH MIAMI, FL 33161-3442
(305) 899-0943
(305) 899-0945
Mailing address
14045 W DIXIE HWY, NORTH MIAMI, FL 33161-3442
(305) 899-0943
(305) 899-0945

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH17703
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022952100
FL
Enumeration date
05/25/2007
Last updated
09/17/2008
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