Pharmacy at 100 NW 170th St, LLC
NPI #1215789946 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1215789946
- Entity Type
- Organization
- Organization Name
- Pharmacy at 100 NW 170th St, LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Apr 4, 2024
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 15485 EAGLE NEST LN STE 230
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33014-2222
- Phone
- (917) 440-1529
Authorized Official
- Name
- RICHARD RAY
- Title
- OWNER
- Phone
- (917) 440-1529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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