Organization
NICANOR PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MANUEL TEIJEIRO (PRESIDENT)
(305) 324-5020
Entity
Organization
Contact information
Practice address
1003 W FLAGLER ST, MIAMI, FL 33130-1031
(305) 324-5020
(305) 324-4333
Mailing address
1003 W FLAGLER ST, MIAMI, FL 33130-1031
(305) 324-5020
(305) 324-4333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH6878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032462100
—
FL
Enumeration date
10/12/2006
Last updated
06/23/2008
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