Organization
GRAND 7TH PHARMACY STOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADALBERTO HERNANDEZ MARTINEZ (PRESIDENT)
(305) 445-7533
Entity
Organization
Contact information
Practice address
12304 SW 127TH AVE, MIAMI, FL 33186-6579
(305) 445-7533
Mailing address
12304 SW 127TH AVE, MIAMI, FL 33186-6579
(305) 445-7533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUM
4279
FL
Enumeration date
11/18/2022
Last updated
11/18/2022
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