Organization
VISA PHARMACY & DISCOUNT STORE INC
Active
Other names
Sedanos Pharmacy #3
Organization subpart
No
Provider details
NPI number
Authorized official
LEO CUERVO RPH (PRESIDENT)
(305) 827-9582
Entity
Organization
Contact information
Practice address
1700 WEST 68 STREET, HIALEAH, FL 33014
(305) 556-3008
(305) 556-3011
Mailing address
1700 WEST 68 STREET, HIALEAH, FL 33014
(305) 556-3008
(305) 556-3011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH0008168
FL
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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