Organization
MJ PHARMACY & DISCOUNT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRTHA GONZALEZ REGISTERED PHARMACY (MEMBER/OWNER)
(786) 259-3076
Entity
Organization
Contact information
Practice address
1545 WEST 62ND STREET, SUITE 62, HIALEAH, FL 33014
(786) 259-3076
(786) 364-1602
Mailing address
1545 WEST 62ND STREET, SUITE 62, HIALEAH, FL 33014
(786) 259-3076
(786) 364-1602
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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