Organization
LA BOTICA PHARMACY INC
Active
Other names
LA BOTICA
Organization subpart
No
Provider details
NPI number
Authorized official
EMILYS PRIETO (OWNER/PRESIDENT)
(786) 703-4284
Entity
Organization
Contact information
Practice address
10550 NW 77TH CT STE 109, HIALEAH GARDENS, FL 33016-2069
(786) 703-4284
(786) 703-7767
Mailing address
10550 NW 77TH CT STE 109, HIALEAH GARDENS, FL 33016-2069
(786) 703-4284
(786) 703-7767
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144549
PK
—
Enumeration date
03/07/2014
Last updated
08/18/2014
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