Organization
SUSYS PHARMACY INC
Active
Other names
Susy's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OLURONKE OLUFIDIPE (PHARMACY MANAGER)
(786) 431-5766
Entity
Organization
Contact information
Practice address
12887 SW 42ND ST, MIAMI, FL 33175-3435
(786) 431-5766
(786) 431-5751
Mailing address
12887 SW 42ND ST, MIAMI, FL 33175-3435
(786) 431-5766
(786) 431-5751
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150360
PK
—
Enumeration date
02/20/2015
Last updated
02/15/2017
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