Organization
ANTILLEAN RX CENTERS LLC
Active
Other names
South Orange Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNE LIONEL-ALEANDRE RPH (OWNER PHARMACIST)
(407) 246-5588
Entity
Organization
Contact information
Practice address
3520 S ORANGE AVE, ORLANDO, FL 32806-6114
(407) 246-4488
(407) 246-0088
Mailing address
3520 S ORANGE AVE, ORLANDO, FL 32806-6114
(407) 246-4488
(407) 246-0088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032224500
—
FL
01
—
1029001
NCPDP #
FL
Enumeration date
09/26/2007
Last updated
03/07/2023
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