Organization
BIRD GALLOWAY HEALTH LLC
Active
Other names
Locatel Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ARI LEVY PHARM D (EXECUTIVE GENERAL MANAGER)
(786) 422-7313
Entity
Organization
Contact information
Practice address
7035 SW 87TH AVE, MIAMI, FL 33173-2505
(786) 422-8302
(786) 456-7135
Mailing address
20900 NE 30TH AVE STE 303, AVENTURA, FL 33180-2162
(305) 370-3540
(305) 935-1729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003200
—
FL
01
—
2133140
PK
—
Enumeration date
11/16/2011
Last updated
01/31/2020
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