Organization
YONG PHARMACY DISCOUNT
Active
Organization
YONG PHARMACY DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO FONSECA (PRESIDENT)
(786) 388-4990
Entity
Organization
Contact information
Practice address
2324 SW 67TH AVE, MIAMI, FL 33155-1846
(786) 388-4990
Mailing address
2324 SW 67TH AVE, MIAMI, FL 33155-1846
(786) 388-4990
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80840
BLUECROSS BLUESHIELD
FL
Enumeration date
05/18/2006
Last updated
05/29/2009
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