Organization
LAS MERCEDES PHARMACY , INC
Active
Other names
Las Mercedes Pharmacy , inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL MARTINEZ PHARM. D (CHIEF PHARMACY OFFICER)
(786) 401-7301
Entity
Organization
Contact information
Practice address
75 W 21ST ST, HIALEAH, FL 33010-2613
(786) 401-7301
(786) 431-5975
Mailing address
75 W 21ST ST, HIALEAH, FL 33010-2613
(786) 401-7301
(786) 431-5975
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132745
PK
—
Enumeration date
12/02/2011
Last updated
10/05/2022
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