Organization
NEW LIFE COMMUNITY PHARMACY
Active
Other names
New Life Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS CORREA (PRESIDENT/OWNER)
(786) 360-4020
Entity
Organization
Contact information
Practice address
3032 NW 7TH AVE, MIAMI, FL 33127-3624
(786) 360-4020
(786) 334-5385
Mailing address
3032 NW 7TH AVE, MIAMI, FL 33127-3624
(786) 360-4020
(786) 334-5385
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PH27113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708714
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/21/2011
Last updated
02/27/2014
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