Organization
JERRY PHARMACY AND MEDICAL SUPPLY INC
Active
Organization
JERRY PHARMACY AND MEDICAL SUPPLY INC
Active
Other names
JERRY PHARMACY AND MEDICAL SUPPLY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO BRUNET (PRESIDENT)
(305) 225-5007
Entity
Organization
Contact information
Practice address
3855 SW 137TH AVE, 13, MIAMI, FL 33175-8820
(305) 225-5007
(305) 225-5008
Mailing address
3855 SW 137TH AVE, 13, MIAMI, FL 33175-8820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032628
OTHER ID NUMBER
—
Enumeration date
04/13/2007
Last updated
02/26/2008
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