Organization
SOUTH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN ESCAMILLA (PRESIDENT)
(305) 448-6300
Entity
Organization
Contact information
Practice address
4315 NW 7TH ST STE 20, MIAMI, FL 33126-3562
(305) 448-6300
(305) 448-6301
Mailing address
4315 NW 7TH ST STE 20, MIAMI, FL 33126-3562
(305) 448-6300
(305) 448-6301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032093500
—
FL
Enumeration date
10/11/2006
Last updated
11/19/2010
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