Organization
JUNIORS PHARMACY
Active
Other names
JUNIOR'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LOPEZ (PRESIDENT)
(954) 532-1859
Entity
Organization
Contact information
Practice address
7112 W MCNAB RD, TAMARAC, FL 33321-5306
(954) 532-1859
(954) 532-1997
Mailing address
7112 W MCNAB RD, TAMARAC, FL 33321-5306
(954) 532-1859
(954) 532-1997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155372
PK
—
Enumeration date
11/09/2015
Last updated
04/14/2016
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