Organization
GUANTANAMO PHARMACY & DISCOUNT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ISMIAN NASCO (PRESIDENT)
(305) 805-3595
Entity
Organization
Contact information
Practice address
1054 W 35TH ST, HIALEAH, FL 33012-4928
(305) 805-3595
(305) 805-5776
Mailing address
1054 W 35TH ST, HIALEAH, FL 33012-4928
(305) 805-3595
(305) 805-5776
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
08/22/2020
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