# PALM AVE PHARMACY DISCOUNT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396004347
- **Authorized official:** DR. WILDA DELORES RPH (PHARMACY MANAGER)
- **Authorized official phone:** (305) 887-7979

## Contact information

- **Practice address:** 1301 PALM AVE, SUITE 105, HIALEAH, FL 33010-3463
- **Practice address phone:** (305) 887-7979
- **Practice address fax:** (305) 887-7909
- **Mailing address:** 1301 PALM AVE, SUITE 105, HIALEAH, FL 33010-3463
- **Mailing address phone:** (305) 887-7979
- **Mailing address fax:** (305) 887-7909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PS40699 | FL | Yes |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 05/11/2012