Most Relevant Information
Provider Data
| NPI Number: | 1003575614 |
| Provider Name: | WILFREDO OCTAVIO BRACERAS RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | PS28468 |
Most Important Dates
| Enumeration Date: | 12/10/2021 |
| Last Updated: | 12/10/2021 |
Provider Practice Location
13325 SW 124TH ST # 2
MIAMI
FL
331866418
Practice Location Phone/Fax
| Phone: | 7866917808 |
| Fax: |
Provider Mailing Location
10320 SW 166TH CT
MIAMI
FL
331961086
Provider Mailing Phone/Fax
| Phone: | 7866917808 |
| Fax: |