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Organization

LUX PHARMACY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YESIKA VILLAFANA (PRESIDENT)
(786) 432-9111
Entity
Organization

Contact information

Practice address
13205 SW 137TH AVE STE 104, MIAMI, FL 33186-5333
(786) 432-9111
(786) 432-9112
Mailing address
13205 SW 137TH AVE STE 104, MIAMI, FL 33186-5333
(786) 432-9111
(786) 432-9112

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4577
NUMB
FL
Enumeration date
06/28/2021
Last updated
06/28/2021
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