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Organization
PALM AVE PHARMACY DISCOUNT
Active
Organization
PALM AVE PHARMACY DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILDA DELORES RPH (PHARMACY MANAGER)
(305) 887-7979
Entity
Organization
Contact information
Practice address
1301 PALM AVE, SUITE 105, HIALEAH, FL 33010-3463
(305) 887-7979
(305) 887-7909
Mailing address
1301 PALM AVE, SUITE 105, HIALEAH, FL 33010-3463
(305) 887-7979
(305) 887-7909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40699
FL
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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