Organization
GRAND 7TH PHARMACY BY KWIK STOP LLC
Active
Other names
ADV PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO ALFARO JR. (PRESIDENT)
(305) 333-4897
Entity
Organization
Contact information
Practice address
12304 SW 127TH AVE, MIAMI, FL 33186-6579
(305) 445-7533
(786) 899-0686
Mailing address
12304 SW 127TH AVE, MIAMI, FL 33186-6579
(305) 445-7533
(786) 899-0686
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31737
DOH
FL
Enumeration date
12/16/2018
Last updated
05/26/2022
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