Organization
MAGGIES PHARMACY INC
Active
Other names
Maggie's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TWIGGI BATISTA (PRESIDENT)
(954) 960-7360
Entity
Organization
Contact information
Practice address
7590 NW 186TH ST STE 109, HIALEAH, FL 33015-2952
(305) 818-0863
(305) 818-0864
Mailing address
7590 NW 186TH ST STE 109, HIALEAH, FL 33015-2952
(305) 818-0863
(305) 818-0864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24207
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121533
PK
—
Enumeration date
08/12/2009
Last updated
11/04/2019
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