Organization
NEW LIFE PHARMACY INC
Active
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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