Organization
GOLDENWAY PHARMACY DISCOUNT
Active
Other names
goldenway pharmacy discount
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY DE LA FE (OWNER/PRESIDENT)
(305) 669-2976
Entity
Organization
Contact information
Practice address
6350 SW 40TH ST, MIAMI, FL 33155-4826
(305) 669-2976
(305) 669-2946
Mailing address
6350 SW 40TH ST, MIAMI, FL 33155-4826
(305) 669-2976
(305) 669-2946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706051
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/08/2011
Last updated
06/08/2011
Update your record
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