Organization
NEW LIFE PHARMACY INC
Active
Other names
New Life Pharmacy Inc, New Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK OKYERE PREMPEH PHARM D (PHARMACY MANAGER)
(305) 960-7176
Entity
Organization
Contact information
Practice address
22149 S DIXIE HWY, MIAMI, FL 33170-2840
(305) 960-7176
(786) 953-4472
Mailing address
22149 S DIXIE HWY, MIAMI, FL 33170-2840
(305) 960-7176
(786) 953-4472
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019770300
—
FL
01
—
2164231
PK
—
Enumeration date
08/23/2016
Last updated
11/04/2019
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