Organization
BI COUNTY MEDICAL SUPPLY INC
Active
Other names
La Colonia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS DIAZ-BATTE (PRESIDENT)
(305) 637-0666
Entity
Organization
Contact information
Practice address
8377 PINES BLVD, PEMBROKE PINES, FL 33024-6607
(954) 438-2915
Mailing address
1662 NW 36TH ST, MIAMI, FL 33142-5572
(305) 637-0666
(305) 637-0740
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH27383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144103
PK
—
Enumeration date
01/28/2014
Last updated
01/12/2015
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