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Organization

RUBIO PHARMACY AND DISCOUNT INC

Active
Other names
Rubio Pharmacy and Discount
Organization subpart
No

Provider details

NPI number
Authorized official
LERYCKA FONTE PHARM. D. (PRESIDENT/PHARMACY MANAGER)
(305) 405-3333
Entity
Organization

Contact information

Practice address
18600 NW 87TH AVE UNIT 109, HIALEAH, FL 33015-3528
(305) 405-3333
(305) 405-3334
Mailing address
18600 NW 87TH AVE UNIT 109, HIALEAH, FL 33015-3528
(305) 405-3333
(305) 405-3334

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH25857
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004794000
FL
01
2133224
PK
Enumeration date
12/23/2011
Last updated
11/20/2014
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