Organization
MA-GA FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO VARONA (PRESIDENT)
(786) 899-0912
Entity
Organization
Contact information
Practice address
2356 NW 7TH ST, MIAMI, FL 33125-3249
(786) 899-0912
(786) 238-7787
Mailing address
2356 NW 7TH ST, MIAMI, FL 33125-3249
(786) 899-0912
(786) 238-7787
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31568
LIC
FL
Enumeration date
08/14/2018
Last updated
08/14/2018
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