Organization
BONANZA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO DE ARMAS (OWNER)
(305) 828-0348
Entity
Organization
Contact information
Practice address
2350 W 60TH ST, SUIT #5, HIALEAH, FL 33016-4482
(305) 828-0348
(305) 828-0349
Mailing address
2350 W 60TH ST, SUIT # 5, HIALEAH, FL 33016-4482
(305) 828-0348
(305) 828-0349
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25476
FL
Other
Enumeration date
06/02/2011
Last updated
10/25/2011
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