Life Pharma Corp
Pharmacy, Community/Retail Pharmacy in Miami, FL. Organization (NPI-2).
NPI number1962123778
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1962123778
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Pharma Corp
- Organization subpart
- No
- Enumeration date
- Sep 9, 2022
- Certification date
- Dec 9, 2022
- Last updated
- Dec 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
1109 Nw 22nd AveMiami, FL 33125
Phone 305-646-1111 · Fax 786-703-1242
Mailing address
1109 Nw 22nd AveMiami, FL 33125
Phone 305-646-1111 · Fax 786-703-1242
Authorized official
Jorge L Hernandez Lara
President
3056461111
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