Organization
EASY GO PHARMACY INC
Active
Other names
EASY GO PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROCIO FLEITES (PRESIDENT)
(305) 221-2448
Entity
Organization
Contact information
Practice address
2406 SW 137TH AVE, MIAMI, FL 33175-6311
(305) 221-2448
(305) 221-2484
Mailing address
2406 SW 137TH AVE, MIAMI, FL 33175-6311
(305) 221-2448
(305) 221-2484
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706859
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2011
Last updated
07/20/2012
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