Pmr Illinois Holding, LLC
NPI #1770038671 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1770038671
- Entity Type
- Organization
- Organization Name
- Pmr Illinois Holding, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 20, 2016
- Last Updated
- Aug 20, 2016
Practice Location
- Address
- 1395 NW 167TH ST
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33169-5742
- Phone
- (305) 831-4760
Authorized Official
- Name
- MARY CHEN
- Title
- CHIEF OPERATING OFFICER
- Phone
- (305) 831-4760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
| Specialist |
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