Organization
COSTASUR PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMANY RUMBAUT (PRESIDENT)
(786) 712-9463
Entity
Organization
Contact information
Practice address
3421 SW 8TH ST, MIAMI, FL 33135-4107
(786) 712-9463
Mailing address
3421 SW 8TH ST, MIAMI, FL 33135-4107
(786) 712-9463
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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