Organization
PHARMAG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYDEL A LORENZO PHARM.D (VICE-PRESIDENT)
(305) 382-3000
Entity
Organization
Contact information
Practice address
9724 SW 24TH ST, MIAMI, FL 33165-7513
(305) 382-3000
(305) 382-3003
Mailing address
9724 SW 24TH ST, MIAMI, FL 33165-7513
(305) 382-3000
(305) 382-3003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034901
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/05/2008
Last updated
05/23/2014
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