Organization
EBENEZER PHARMACY INC
Active
Organization
EBENEZER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSERKY JIMENEZ (PRESIDENT)
(305) 693-1104
Entity
Organization
Contact information
Practice address
3491 E 4TH AVE, HIALEAH, FL 33013-3052
(305) 693-1104
(305) 691-4530
Mailing address
3491 E 4TH AVE, HIALEAH, FL 33013-3052
(305) 693-1104
(305) 691-4530
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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