Organization
LENIUL PHARMACY GROUP INC
Active
Other names
Leniul Pharmacy Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS VALDES (ADMINISTRATOR)
(305) 644-9866
Entity
Organization
Contact information
Practice address
2901 SW 8TH ST, STE 202, MIAMI, FL 33135-2861
(305) 644-9866
(305) 644-9867
Mailing address
2901 SW 8TH ST, STE 202, MIAMI, FL 33135-2861
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH23543
FL
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037426
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/08/2008
Last updated
09/08/2008
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