PERGONQUI CORP
2030 Palm Ave
Hialeah, FL 33010
305-887-6189
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | FL | PH2824 |
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | FL | 031136701 |
Y | 183500000X | Pharmacy Service Providers - Pharmacist | FL | PH2824 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
031136700 | FL | MEDICAID |