Organization · NPI-2
305 Pharmacy INC
Pharmacy, Compounding Pharmacy · Miami, FL
NPI number1629410089
StatusActive
Last updated in NPPESJan 9, 2014
Details
- NPI
- 1629410089
- Entity type
- Organization (NPI-2)
- Legal business name
- 305 Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2013
- Last updated
- Jan 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | PH27058 | FL | Yes |
Practice location
11398 W Flagler StSuite 109
Miami, FL 33174-4213
Phone 305-228-7766 · Fax 305-228-7755
Mailing address
11398 W Flagler StSuite 109
Miami, FL 33174-4213
Phone 305-228-7766 · Fax 305-228-7755
Authorized official
Armando Perea Cruz
President
3052287766
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