Organization
BRIGHT PHARMACY CORP
Active
Other names
bright pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABELLY LUIS (PRESIDENT)
(239) 321-1002
Entity
Organization
Contact information
Practice address
632 E 4TH AVE, HIALEAH, FL 33010-4402
(305) 887-3370
(305) 887-3364
Mailing address
632 E 4TH AVE, HIALEAH, FL 33010-4402
(305) 887-3370
(305) 887-3364
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055789
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/17/2010
Last updated
06/24/2011
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