Organization
MICMEL EXPRESS CORPORATION
Active
Other names
MICMEL PHARMACY AND DISCOUNT
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR GRASS (PRESIDENT)
(305) 364-1977
Entity
Organization
Contact information
Practice address
2750 W 68TH ST, SUITE 224A, HIALEAH, FL 33016-5446
(305) 364-1977
(305) 364-2301
Mailing address
2750 W 68TH ST, SUITE 224A, HIALEAH, FL 33016-5446
(305) 364-2301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015355
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/18/2006
Last updated
09/24/2008
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