Organization
TAQUECHEL PHARMACY LLC
Active
Other names
Taquechel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA KATAYEV (PHARMACIST IN CHARGE)
(786) 431-1800
Entity
Organization
Contact information
Practice address
18145 BISCAYNE BLVD, AVENTURA, FL 33160-2535
(786) 431-1800
(786) 431-1652
Mailing address
18145 BISCAYNE BLVD, AVENTURA, FL 33160-2535
(786) 431-1800
(786) 431-1652
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170981
PK
—
Enumeration date
09/06/2016
Last updated
07/21/2022
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