Organization
RYCHIMENDI CORP
Active
Other names
angels light pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL LEYVA (OWNER)
(305) 223-0784
Entity
Organization
Contact information
Practice address
8216 W FLAGLER ST, MIAMI, FL 33144-2028
(305) 223-0784
(305) 223-0786
Mailing address
8216 W FLAGLER ST, MIAMI, FL 33144-2028
(305) 223-0784
(305) 223-0786
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701760
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/09/2010
Last updated
08/04/2011
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