Provider Information for 1790029353
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ALAFIA PHARMACY CORP
Organization Subpart: NO
NPI: 1790029353
Last Updated: 2012-11-20
Certification Date:
Certification Date:
Details
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NPI | 1790029353 | ||||||||
Enumeration Date | 2012-11-20 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: Mr. PEDRO PABLO ROSADO Title: President Phone: 9177368927 | ||||||||
Mailing Address | 4704 3RD AVE BROOKLYN, NY 11220-1045 United States Phone: 917-736-8927 | Fax: | ||||||||
Primary Practice Address | 4704 3RD AVE BROOKLYN, NY 11220-1045 United States Phone: 917-736-8927 | Fax:305-691-6682 | ||||||||
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