Organization
AMEN PHARMACY DISCOUNT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL D REYES (PRESIDENT)
(305) 412-5162
Entity
Organization
Contact information
Practice address
10000 SW 56TH ST, SUITE 5, MIAMI, FL 33165-7165
(305) 412-5162
(305) 412-5174
Mailing address
10000 SW 56TH ST, SUITE 5, MIAMI, FL 33165-7165
(305) 412-5162
(305) 412-5174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4040
DOC NUMB
FL
Enumeration date
02/24/2012
Last updated
02/24/2012
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