Organization
CHRIS LOU CORPORATION
Active
Other names
UNION CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS BLANCO (PRESIDENT)
(305) 264-6222
Entity
Organization
Contact information
Practice address
7880 CORAL WAY, MIAMI, FL 33155-6551
(305) 264-6222
(305) 264-6224
Mailing address
7880 CORAL WAY, MIAMI, FL 33155-6551
(305) 264-6222
(305) 264-6224
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022886900
—
FL
01
—
2008979
PK
—
Enumeration date
12/28/2005
Last updated
04/20/2016
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