Organization
FORMULA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICARDO ESPINOSA (PRESIDENT)
(305) 381-5635
Entity
Organization
Contact information
Practice address
11180 W FLAGLER ST STE 2, MIAMI, FL 33174-1250
(305) 381-5635
(305) 381-5971
Mailing address
11180 W FLAGLER ST STE 2, MIAMI, FL 33174-1250
(305) 381-5635
(305) 381-5971
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH27582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH27582
FL BOARD OF PHARMACY
—
Enumeration date
02/28/2014
Last updated
12/01/2015
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