Organization
PRESTIGE PHARMACY AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DE GREGORIO (PRESIDENT)
(305) 558-3848
Entity
Organization
Contact information
Practice address
2150 W 76TH ST STE 106, HIALEAH, FL 33016-1839
(305) 558-3848
(305) 558-3849
Mailing address
2150 W 76TH ST STE 106, HIALEAH, FL 33016-1839
(305) 558-3848
(305) 558-3849
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24362
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
12/07/2009
Last updated
08/18/2014
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