Organization
GOLDEN PALM PHARMACY CORP
Active
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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