Organization
305 RX LLC
Active
Other names
Ideal Pharmacy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR HERNANDEZ (OWNER)
(305) 558-3522
Entity
Organization
Contact information
Practice address
344 W 65TH ST STE 101, HIALEAH, FL 33012-6719
(305) 558-3522
(305) 487-7409
Mailing address
344 W 65TH ST, #101, HIALEAH, FL 33012-6719
(305) 558-3522
(305) 487-7409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055171
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1760707806
—
FL
Enumeration date
04/01/2010
Last updated
03/14/2012
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