Organization · NPI-2

Aqua Pharmacy INC

Pharmacy, Community/Retail Pharmacy · Coral Gables, FL

NPI number1366844789
StatusActive
Last updated in NPPESSep 17, 2014

Details

NPI
1366844789
Entity type
Organization (NPI-2)
Legal business name
Aqua Pharmacy INC
Organization subpart
No
Enumeration date
Sep 17, 2014
Last updated
Sep 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPH28553FLYes

Other names

  • Aqua Pharmacy INC (Doing Business As)

Practice location

4243 W Flagler St
Coral Gables, FL 33134-1605

Phone 786-409-7503 · Fax 786-409-7516

Mailing address

4243 W Flagler St
Coral Gables, FL 33134-1605

Phone 786-409-7503 · Fax 786-409-7516

Authorized official

Agustin De Cardenas
Owner
7865259016

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