Organization
D-CROWNED QUEEN PHARMACY INC
Active
Organization
D-CROWNED QUEEN PHARMACY INC
Active
Other names
D-CROWNED QUEEN PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
IFEMMUTA ADIRIKA (OWNER)
(305) 967-8224
Entity
Organization
Contact information
Practice address
456 NE 79TH ST, MIAMI, FL 33138-4521
(305) 967-8224
(305) 967-8533
Mailing address
456 NE 79TH ST, MIAMI, FL 33138-4521
(305) 967-8224
(305) 967-8533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129658
PK
—
Enumeration date
03/28/2011
Last updated
06/16/2014
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