Individual provider · NPI-1

Jorge Acosta, RPh

Pharmacist · Miami, FL

NPI number1922286376
StatusActive
Last updated in NPPESFeb 7, 2008

Details

NPI
1922286376
Entity type
Individual (NPI-1)
Name
Jorge Acosta
Credential
RPh
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 7, 2008
Last updated
Feb 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPS20844FLYes

Practice location

11501 Sw 40th St
Miami, FL 33165-3313

Phone 305-631-4427

Mailing address

11501 Sw 40th St
Miami, FL 33165-3313

Phone 305-631-4427

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