Organization
COMMUNITY DISCOUNT PHARMACY
Active
Other names
COMMUNITY DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ISIS ALFONSO (GM)
(305) 860-6330
Entity
Organization
Contact information
Practice address
1408 SW 6TH ST, MIAMI, FL 33135-3809
(305) 860-6330
(305) 860-6436
Mailing address
1408 SW 6TH ST, MIAMI, FL 33135-3809
(305) 860-6330
(305) 860-6436
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021334
OTHER ID NUMBER
—
Enumeration date
08/01/2006
Last updated
09/16/2008
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