Organization
EZ RX HALLANDALE LLC
Active
Other names
EZ RX Pharmacy & Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MIRTHA GONZALEZ (OWNER)
(786) 703-5670
Entity
Organization
Contact information
Practice address
1550 W 84TH ST, #62, HIALEAH, FL 33014-3379
(786) 703-5670
(786) 703-5657
Mailing address
1550 W 84TH ST, #62, HIALEAH, FL 33014-3379
(786) 703-5670
(786) 703-5657
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH30285
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163865
PK
—
Enumeration date
09/08/2016
Last updated
08/13/2020
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