Organization
BELLE GLADE DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAI CHINOUYAZVE (PRES)
(561) 992-0508
Entity
Organization
Contact information
Practice address
1508 SW AVE E, BELLE GLADE, FL 33430
(561) 992-0508
(561) 992-0509
Mailing address
1508 SW AVE E, BELLE GLADE, FL 33430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH0016287
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084879
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/13/2006
Last updated
09/11/2025
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