Organization
NORTHEASTERN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASSER RICHMOND REG. PHARMACIST (MANAGER)
(954) 237-9841
Entity
Organization
Contact information
Practice address
10645 NW 7TH AVE STE 104, MIAMI, FL 33150-1067
(786) 963-6008
(786) 963-6209
Mailing address
321 NE 90TH ST, EL PORTAL, FL 33138-3125
(954) 237-9841
(786) 963-6209
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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