Organization
WEST HIALEAH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M HERNANDEZ (PRESIDENT)
(305) 883-8566
Entity
Organization
Contact information
Practice address
2900 W 12TH AVE, 4, HIALEAH, FL 33012-4860
(305) 883-8566
(305) 883-8360
Mailing address
2900 W 12TH AVE, 4, HIALEAH, FL 33012-4860
(305) 883-8566
(305) 883-8360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 23302
FL
Other
Enumeration date
04/01/2008
Last updated
07/02/2009
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