Organization
GONZALEZ PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANSEL GONZALEZ (PHARM.D.)
(305) 798-8211
Entity
Organization
Contact information
Practice address
630 E 9TH ST, HIALEAH, FL 33010-4502
(305) 447-2785
(305) 447-2985
Mailing address
630 E 9TH ST, HIALEAH, FL 33010-4502
(305) 447-2785
(305) 447-2985
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168789
PK
—
Enumeration date
03/20/2017
Last updated
04/10/2017
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