Organization
NORTHSTAR PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS GONZALEZ JR. (PRESIDENT)
(305) 804-4762
Entity
Organization
Contact information
Practice address
8090 W 23RD AVE, SUITE 4, HIALEAH, FL 33016-5572
(305) 804-4761
(305) 804-4762
Mailing address
8090 W 23RD AVE, SUITE 4, HIALEAH, FL 33016-5572
(305) 804-4761
(305) 804-4762
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22427
FL
Other
Enumeration date
05/03/2007
Last updated
02/02/2009
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