Provider First Line Business Practice Location Address:
3601 FEDERAL HWY
Provider Second Line Business Practice Location Address:
BORINQUEN PHARMACY
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-576-5854
Provider Business Practice Location Address Fax Number:
305-576-2842
Provider Enumeration Date:
01/19/2006