Organization
SILVER STAR PHARMACY LLC
Active
Other names
SILVER STAR PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO DE LA NOVAL (PRESIDENT)
(305) 381-5752
Entity
Organization
Contact information
Practice address
12304 SW 127TH AVE, MIAMI, FL 33186-6579
(305) 259-8767
(305) 259-8640
Mailing address
12304 SW 127TH AVE, MIAMI, FL 33186-6579
(305) 259-8767
(305) 259-8640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007813100
—
FL
01
—
2005686
PK
—
Enumeration date
07/30/2006
Last updated
11/09/2020
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