Organization
PALACE PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INES RODRIGUEZ (PRESIDENT / OWNER)
(786) 953-4291
Entity
Organization
Contact information
Practice address
923 SW 122ND AVE, MIAMI, FL 33184-2477
(786) 953-4291
Mailing address
923 SW 122ND AVE, MIAMI, FL 33184-2477
(786) 953-4291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26114
FL
Other
Enumeration date
05/07/2012
Last updated
01/08/2016
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