Organization
STA AMALIA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO M PEREZ (PRESIDENT)
(305) 631-8330
Entity
Organization
Contact information
Practice address
2170 NW 7TH ST, MIAMI, FL 33125-3425
(305) 631-8330
(305) 631-8723
Mailing address
2170 NW 7TH ST, MIAMI, FL 33125-3425
(305) 631-8330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH21675
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016307
NCPDP
FL
01
—
1016307
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
PH21675
STATE LICENSE
FL
Enumeration date
06/13/2006
Last updated
03/07/2023
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