Organization
21 PHARMACY INC
Active
Other names
21 Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ODALYS CORRALES (PRESIDENT / OWNER)
(305) 261-2220
Entity
Organization
Contact information
Practice address
6105 SW 8TH ST, WEST MIAMI, FL 33144-5004
(305) 261-2220
(305) 261-2290
Mailing address
6105 SW 8TH ST, WEST MIAMI, FL 33144-5004
(305) 261-2220
(305) 261-2290
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5705821
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/16/2011
Last updated
09/10/2012
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