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Organization

BELEN PHARMACY GROUP, LLC

Active
Other names
Belen Pharmacy Group, Care Med Pharmacy, LLC.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARLOW HERNANDEZ (MANAGING MEMBER)
(305) 200-3944
Entity
Organization

Contact information

Practice address
4201 PALM AVE, STE AA, HIALEAH, FL 33012-4424
(305) 200-3944
(305) 960-7079
Mailing address
4201 PALM AVE, STE AA, HIALEAH, FL 33012-4424
(305) 200-3944
(305) 960-7079

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004632200
FL
01
5704285
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/14/2011
Last updated
09/18/2019
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