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Organization

UNIQUE PROFESSIONAL SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GRISELL HERNANDEZ (PRESIDENT)
(305) 649-6090
Entity
Organization

Contact information

Practice address
2344 NW 7TH ST, MIAMI, FL 33125-3249
(305) 649-6090
(305) 649-4576
Mailing address
2344 NW 7TH ST, MIAMI, FL 33125-3249
(305) 649-6090
(305) 649-4576

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
5705782
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5705782
NCPDP NPDS
FL
Enumeration date
06/29/2011
Last updated
06/29/2011
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