Organization
GREENWALL PHARMACY & DISCOUNT ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA OLGA TEIJEIRO (PRESIDENT)
(305) 448-4388
Entity
Organization
Contact information
Practice address
3390 SW 22ND ST, MIAMI, FL 33145-2236
(305) 448-4388
(305) 448-4390
Mailing address
3390 SW 22ND ST, MIAMI, FL 33145-2236
(305) 448-4388
(305) 448-4390
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH24428
FL
Other
Enumeration date
01/31/2010
Last updated
01/31/2010
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