Organization
COUNTRY WALK PHARMACY
Active
Other names
LA CENTRAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA RUIZ (ADMIN)
(305) 325-0301
Entity
Organization
Contact information
Practice address
1845 NW 17TH AVE, MIAMI, FL 33125-2330
(305) 325-0301
(305) 278-7600
Mailing address
1845 NW 17TH AVE, MIAMI, FL 33125-2330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH21332
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096999
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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