Organization
THE HOUSE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN VELAZCO (PRESIDENT)
(305) 821-1275
Entity
Organization
Contact information
Practice address
1554 W 68TH ST, HIALEAH, FL 33014-3810
(305) 821-1275
(305) 821-1315
Mailing address
1554 W 68TH ST, HIALEAH, FL 33014-3810
(305) 821-1275
(305) 821-1315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE
26716
FL
Enumeration date
06/30/2010
Last updated
06/30/2010
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