Organization
ADV PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SUSANA (OWNER)
(786) 492-2354
Entity
Organization
Contact information
Practice address
10212 SW 183RD ST, MIAMI, FL 33157-5249
(786) 492-2354
Mailing address
10212 SW 183RD ST, MIAMI, FL 33157-5249
(786) 492-2354
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333237
PHARMACY LICENSE
FL
Enumeration date
04/06/2021
Last updated
11/28/2022
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