Indian Star Pharm Inc.
NPI #1366738916 in Hialeah Gardens, Florida
Provider Information
- NPI Number
- 1366738916
- Entity Type
- Organization
- Organization Name
- Indian Star Pharm Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Dec 27, 2011
Practice Location
- Address
- 9500 NW 79 AV BAY4
- City
- Hialeah Gardens
- State
- Florida
- ZIP Code
- 33016
- Phone
- (786) 506-6084
Authorized Official
- Name
- MARIO REYES
- Title
- PRESIDENT
- Phone
- (786) 506-6084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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