Organization
MEDPLUS PHARMACY
Active
Other names
New Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS A BORGESANO (PRESIDENT)
(786) 344-8916
Entity
Organization
Contact information
Practice address
13016 SW 120TH ST, MIAMI, FL 33186-4526
(305) 969-4435
(305) 969-4437
Mailing address
13016 SW 120TH ST, MIAMI, FL 33186-4526
(305) 969-4435
(305) 969-4437
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26365
FL
Other
Enumeration date
10/17/2012
Last updated
07/08/2014
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