Organization
ULTRA PHARMACY DISCOUNT INC
Active
Other names
Ultra Pharmacy Discount Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ESPINOSA (PRESIDENT)
(305) 637-3066
Entity
Organization
Contact information
Practice address
2416 NW 27TH AVE, MIAMI, FL 33142-7234
(305) 637-3066
(305) 637-3068
Mailing address
2416 NW 27TH AVE, MIAMI, FL 33142-7234
(305) 637-3066
(305) 637-3068
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137864
PK
—
Enumeration date
07/19/2012
Last updated
10/15/2014
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