Organization
CASABLANCA PHARMACY & DISCOUNT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LAZARO BANOS (PRESIDENT)
(786) 332-2473
Entity
Organization
Contact information
Practice address
7245 CORAL WAY, MIAMI, FL 33155-1401
(786) 332-2473
(786) 332-2487
Mailing address
7245 CORAL WAY, MIAMI, FL 33155-1401
(786) 332-2473
(786) 332-2487
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25771
FL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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