Healthcare Provider Details

I. General information

NPI: 1134414824
Provider Name (Legal Business Name): NEIGHBORS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26059 S DIXIE HWY
NARANJA FL
33032-6613
US

IV. Provider business mailing address

26059 S DIXIE HWY
NARANJA FL
33032-6613
US

V. Phone/Fax

Practice location:
  • Phone: 305-258-3599
  • Fax: 305-258-3791
Mailing address:
  • Phone: 305-258-3599
  • Fax: 305-258-3791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH25477
License Number StateFL

VIII. Authorized Official

Name: MRS. MISLEY GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-258-3599