MI HAVANA PHARMACY & DISCOUNT
Pharmacy at 27 Ave, Miami, FL

License number
Florida PH19751
Category
Pharmacy
Type
Pharmacist
Owner
Name: MR. JAVIER A FERNANDEZ
Title: OWNER
Phone: (305) 631-0004
Address
Address
200 NW 27Th Ave, Miami, FL 33125
National Provider ID: 1356346522
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MI HAVANA PHARMACY & DISCOUNT, INC

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 16, 2003
Inactive since:
Sep 15, 2006
Addresses:
1557Sw 136Pl, Miami, FL 33184 (Physical)
1557Sw 136 Pl, Miami, FL 33184 (Mailing)
1557 SW 136 Pl, Miami, FL 33184
1557 SW 136Pl, Miami, FL 33184
State ID:
P03000042694
Business type:
Florida Profit Corporation
President:
Javier A Fernandez President, inactive, 1557 SW 136 Pl, Miami, FL 33184 (Physical)
Agent:
Javier Fernandez,1557Sw 136Pl, Miami, FL 33184 (Physical)
EIN:
68-0550099

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