Provider First Line Business Practice Location Address:
3197 SW 18TH ST
Provider Second Line Business Practice Location Address:
FARMACIA JULIA DISCOUNT #2
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33145-1803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-448-6523
Provider Business Practice Location Address Fax Number:
305-444-1535
Provider Enumeration Date:
04/29/2008