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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