Organization
GR21 PHARMACY DISCOUNT INC
Active
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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