Organization
GREY DOG II INC
Active
Other names
SOUTH MIAMI MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SEFFAR RPH (OWNER/PIC)
(305) 666-1648
Entity
Organization
Contact information
Practice address
6200 SUNSET DR, STE 102, SOUTH MIAMI, FL 33143-4828
(305) 666-1605
(305) 666-1688
Mailing address
6200 SUNSET DR, STE 102, SOUTH MIAMI, FL 33143-4828
(305) 666-1605
(305) 666-1688
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001218200
—
FL
01
—
2010260
PK
—
Enumeration date
11/29/2007
Last updated
11/04/2016
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