Organization
FILL-A-SCRIPT PHARMACY
Active
Organization
FILL-A-SCRIPT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLIN ROMAN (SECRETARY)
(786) 300-9150
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE STE 30, MIAMI, FL 33165-2492
(305) 226-0181
Mailing address
2500 SW 107TH AVE #30, MIAMI, FL 33165
(305) 226-0181
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26326
FL
3336S0011X
Specialty Pharmacy
PH26327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH26326
PHARMACY
FL
Enumeration date
09/14/2012
Last updated
09/14/2012
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