Organization
STAYWELL RX PHARMACY LLC
Active
Other names
STAYWELL RX PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA LIPMAN (PRESIDENT)
(305) 262-8297
Entity
Organization
Contact information
Practice address
7209 CORAL WAY, MIAMI, FL 33155-1401
(305) 262-8297
(305) 262-8299
Mailing address
7209 CORAL WAY, MIAMI, FL 33155-1401
(305) 262-8297
(305) 262-8299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH29503
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156204
PK
—
Enumeration date
12/11/2015
Last updated
02/05/2016
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