Organization
CREST PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO MIRANDA (PRESIDENT)
(305) 253-9191
Entity
Organization
Contact information
Practice address
8241 SW 124TH ST, PINECREST, FL 33156-5900
(305) 253-9191
(305) 253-8384
Mailing address
8241 SW 124TH ST, PINECREST, FL 33156-5900
(305) 253-9191
(305) 253-8384
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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