TUDELA PHARMACY, INC.
Pharmacy at 40 St, Miami, FL

License number
Florida PH14292
Category
Suppliers
Type
Pharmacy
Owner
Name: MARIA MAGADALENA GONZALEZ
Title: OWNER / PRESIDENT
Phone: (305) 223-4841
Address
Address
10961 SW 40Th St, Miami, FL 33165
National Provider ID: 1629158829
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TUDELA PHARMACY, INC. at bizstanding.com

TUDELA PHARMACY, INC

10961 SW 40, Miami, FL 33165

Status:
Inactive
Inactive reason:
Amendment
Registration:
Oct 28, 1996
Inactive since:
Apr 12, 2005
State ID:
P96000088606
Business type:
Florida Profit Corporation
S:
Maria Gonzalez, 10961 SW 40, Miami, FL 33165 (Physical),Alex Diaz, 10961 SW 40, Miami, FL 33165 (Physical)
Agent:
Gonzalez, Maria,10961 SW 40, Miami, FL 33165 (Physical)
FEI/EIN:
650704898

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