Organization
GRAND 7TH PHARMACY BY KWIK STOP LLC
Active
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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