Pmr La Holding, LLC
NPI #1225627839 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1225627839
- Entity Type
- Organization
- Organization Name
- Pmr La Holding, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jan 18, 2021
- Last Updated
- Jan 18, 2021
Practice Location
- Address
- 1395 NW 167TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-5710
- Phone
- (305) 628-6117
Authorized Official
- Name
- MARY CHEN
- Title
- EXECUTIVE OFFICER
- Phone
- (305) 628-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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