Organization
MILAGROS PHARMACY CORPORATION
Active
Other names
Milagros Pharmacy Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
ALDO LEON (PRESIDENT)
(305) 541-0094
Entity
Organization
Contact information
Practice address
302 SW 12TH AVE, MIAMI, FL 33130-2001
(305) 541-0094
(305) 541-0717
Mailing address
302 SW 12TH AVE, MIAMI, FL 33130-2001
(305) 541-0094
(305) 541-0717
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH17258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150411
PK
—
Enumeration date
10/31/2006
Last updated
01/13/2016
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