Organization
GOLDEN PALM PHARMACY CORP
Active
Other names
GOLDEN PALM PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MARTIN (OWNER)
(305) 827-2230
Entity
Organization
Contact information
Practice address
6900 W 32ND AVE, STE 16, HIALEAH, FL 33018-5227
(305) 827-2230
(305) 827-2238
Mailing address
6900 W 32ND AVE, STE 16, HIALEAH, FL 33018-5227
(305) 827-2230
(305) 827-2238
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5709312
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2012
Last updated
03/03/2014
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