Organization
TUDELA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MAGADALENA GONZALEZ (OWNER / PRESIDENT)
(305) 223-4841
Entity
Organization
Contact information
Practice address
10981 SW 40TH ST, MIAMI, FL 33165-4412
(305) 223-4841
(305) 223-1006
Mailing address
10981 SW 40TH ST, MIAMI, FL 33165-4412
(305) 223-4841
(305) 223-1006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH14292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022874500
—
FL
01
—
1079385
NABP
—
Enumeration date
10/16/2006
Last updated
01/25/2024
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