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PRISCILLA GOMEZ

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1548716095

Individual Registrant:
 PRISCILLA  GOMEZ 
Gender: F
Sole Proprietor

Location and contact information for practice:
17534 COLLINS AVE  SUNNY ISLES BEACH, FL 33160-2823 US
Tel: 305-935-5578  Fax: --

Contact information for business:
1440 E 9TH CT  HIALEAH, FL 33010-3355 US
Tel: 305-333-2310  Fax: --

Registration Information:
NPI: 1548716095
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
FLPS55068

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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