Organization
ALHAMBRA PHARMACY INC
Active
Organization
ALHAMBRA PHARMACY INC
Active
Other names
ALHAMBRA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL HERNANDEZ (OWNER)
(786) 452-1171
Entity
Organization
Contact information
Practice address
4815 NW 79TH AVE STE 1, DORAL, FL 33166-5437
(786) 452-1171
(786) 452-1172
Mailing address
4815 NW 79TH AVE, STE 1, DORAL, FL 33166-5437
(786) 452-1171
(786) 452-1172
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710579
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/05/2012
Last updated
06/05/2012
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