Organization
IDEAL FARMACY INC
Active
Other names
IDEAL FARMACY, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
YOVANI MOLINA (OWNER/PRESIDENT)
(305) 826-2990
Entity
Organization
Contact information
Practice address
3740 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 826-2990
(305) 824-0804
Mailing address
3740 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 826-2990
(305) 824-0804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048986
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/31/2009
Last updated
10/05/2009
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