Organization
MEDICA PHARMACY & COMPOUNDING
Active
Organization
MEDICA PHARMACY & COMPOUNDING
Active
Other names
Medica Pharmacy & Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN BIEN-AIME (OWNER)
(954) 655-4552
Entity
Organization
Contact information
Practice address
21004 W DIXIE HWY, AVENTURA, FL 33180-1132
(305) 570-1933
Mailing address
21004 W DIXIE HWY, AVENTURA, FL 33180-1132
(305) 570-1933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH 28460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147635
PK
—
Enumeration date
09/03/2014
Last updated
04/13/2015
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