Organization
MAR-LAC PHARMACY DISCOUNT & SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MORALES (PRESIDENT)
(305) 631-6602
Entity
Organization
Contact information
Practice address
1109 NW 22ND AVE, MIAMI, FL 33125-2738
(305) 631-6602
Mailing address
1109 NW 22ND AVE, MIAMI, FL 33125-2738
(305) 631-6602
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH 23601
FL
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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