Organization
GR21 PHARMACY DISCOUNT INC
Active
Other names
Gr21 PHARMACY DISCOUNT INC
Organization subpart
No
Provider details
NPI number
Authorized official
ANA GONZALEZ (PRESIDENT)
(786) 325-2647
Entity
Organization
Contact information
Practice address
5929 SW 8TH ST, WEST MIAMI, FL 33144-5037
(786) 703-2987
Mailing address
5929 SW 8TH ST, WEST MIAMI, FL 33144-5037
(786) 703-2987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150205
PK
—
Enumeration date
01/27/2015
Last updated
08/07/2015
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