NPI | 1740311844 |
---|---|
Doing Business As | 67TH AVENUE PHARMACY |
Entity Type | Organization |
Authorized Contact | VICKY EEHEVARRIA Owner 305-661-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH17088) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-03-08 |
Last Update Date | 2010-07-12 |