Organization
JOSE ANTONIO VILLAMIL-RODRIGUEZ
Active
Other names
La Farmacia
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA VILLAMIL (CEO)
(305) 621-2005
Entity
Organization
Contact information
Practice address
16000 NW 27TH AVE, MIAMI GARDENS, FL 33054-6804
(305) 621-2005
(305) 620-0905
Mailing address
16000 NW 27TH AVE, MIAMI GARDENS, FL 33054-6804
(305) 621-2005
(305) 620-0905
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25314
FL
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095682
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/22/2006
Last updated
05/12/2010
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