Organization
MG UNIVERSAL PHARMACY INC
Active
Organization
MG UNIVERSAL PHARMACY INC
Active
Other names
MG UNIVERSAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRELIS LOPEZ (VP)
(305) 836-0071
Entity
Organization
Contact information
Practice address
4065 E 8TH AVE, HIALEAH, FL 33013-2856
(305) 836-0071
(305) 836-0072
Mailing address
4065 E 8TH AVE, HIALEAH, FL 33013-2856
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015761
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
03/09/2009
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