Organization
8TH STREET PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO IZQUIERDO (PRESIDENT)
(786) 360-6582
Entity
Organization
Contact information
Practice address
2742 SW 8TH ST, SUITE 11-12, MIAMI, FL 33135-4650
(786) 360-6582
(786) 360-6739
Mailing address
2742 SW 8TH ST, SUITE 11-12, MIAMI, FL 33135-4650
(786) 360-6582
(786) 360-6739
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0781
DOC NUMB
FL
Enumeration date
03/06/2012
Last updated
06/12/2013
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