Organization
MEDICINE PHARMACY
Active
Other names
Medicine Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA PELEGRIN (PRESIDENT)
(305) 310-9327
Entity
Organization
Contact information
Practice address
710 PALM AVE, HIALEAH, FL 33010-4318
(305) 364-5083
(786) 558-8373
Mailing address
710 PALM AVE, HIALEAH, FL 33010-4318
(305) 364-5083
(786) 558-8373
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710050
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/18/2012
Last updated
01/24/2013
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