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Individual

ANTONIO AMIGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1201 N.W. 16 TH AVENUE, VA MEDICAL CENTER - 119 - PHARMACY SERVICE, MIAMI, FL 33125
(305) 325-4455
Mailing address
5491 W 8TH CT, HIALEAH, FL 33012-2408
(305) 325-4455

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 15030
FL

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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