Organization
AGUIMART CORP
Active
Other names
La Isla Pharmacy & Discount
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA CRISTINA MARTINEZ (OWNER)
(305) 863-6244
Entity
Organization
Contact information
Practice address
432 W 29TH ST, HIALEAH, FL 33012-5729
(305) 863-6244
(305) 863-6245
Mailing address
432 W 29TH ST, HIALEAH, FL 33012-5729
(305) 863-6244
(305) 863-6245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH21627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016523
NCPDP
FL
01
—
PH21627
PHARMA CY LICENSE
FL
Enumeration date
01/12/2006
Last updated
12/11/2007
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