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Organization

LOLA PHARMACY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE AGUIAR (PRESIDENT)
(305) 325-1990
Entity
Organization

Contact information

Practice address
23 SW 8TH AVE, MIAMI, FL 33130-1213
(305) 325-1990
(305) 325-1993
Mailing address
23 SW 8TH AVE, MIAMI, FL 33130-1213
(305) 325-1990
(305) 325-1993

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 25122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3609
DOC NUMBER
FL
Enumeration date
12/22/2010
Last updated
12/22/2010
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