Organization
HOLISTIC APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MARCELINO DIAS (PRESIDENT)
(786) 353-2490
Entity
Organization
Contact information
Practice address
1710 NW 7TH ST STE 8, MIAMI, FL 33125-3520
(786) 353-2490
Mailing address
1710 NW 7TH ST STE 8, MIAMI, FL 33125-3520
(786) 353-2490
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3515
NUMB
FL
Enumeration date
11/01/2022
Last updated
11/01/2022
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