Organization
CLA PHARMACY GROUP LLC
Active
Other names
BENZER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEYSI IGLESIAS (OWNER)
(239) 234-6835
Entity
Organization
Contact information
Practice address
5240 GOLDEN GATE PKWY, NAPLES, FL 34116-7670
(239) 241-2864
(239) 234-5489
Mailing address
5240 GOLDEN GATE PKWY, NAPLES, FL 34116-7670
(239) 241-2864
(239) 234-5489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30776
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170118
PK
—
Enumeration date
07/25/2017
Last updated
01/09/2021
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