Organization
CORAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODELVYS DIAZ (MANAGER)
(407) 690-0537
Entity
Organization
Contact information
Practice address
5581 SW 8TH ST, CORAL GABLES, FL 33134-2219
(407) 690-0537
Mailing address
5581 SW 8TH ST, CORAL GABLES, FL 33134-2219
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24990
FL
Other
Enumeration date
09/27/2010
Last updated
11/16/2010
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