Individual
DR. ANTONIO LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
400 HIALEAH DR, HIALEAH, FL 33010
(305) 884-8774
(305) 884-9779
Mailing address
400 HIALEAH DR, HIALEAH, FL 33010
(305) 884-8774
(305) 884-9779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS42768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS42768
LICENSE
FL
Enumeration date
07/28/2008
Last updated
07/28/2008
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