Organization
YANQUISLANDIA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO C CUBA (PRESIDENT)
(305) 260-0693
Entity
Organization
Contact information
Practice address
139 SW 57TH AVE, MIAMI, FL 33144-3411
(305) 260-0693
Mailing address
139 SW 57TH AVE, MIAMI, FL 33144-3411
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22592
FL
Other
Enumeration date
08/12/2006
Last updated
05/15/2008
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