Organization
BIRD ROAD PHARMACY
Active
Organization
BIRD ROAD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOAN POLANCO (OWNER)
(305) 551-3040
Entity
Organization
Contact information
Practice address
8428 SW 40TH ST, MIAMI, FL 33155-3226
(305) 551-3040
Mailing address
8428 SW 40TH ST, MIAMI, FL 33155-3226
(305) 551-3040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24894
FL
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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