Organization
PDL PHARMACY CORP
Active
Organization
PDL PHARMACY CORP
Active
Other names
PDL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YORDY JULIAN PONCE DE LEON PHARM D (OWNER/PRESIDENT/PIC)
(786) 443-4007
Entity
Organization
Contact information
Practice address
3255 NW 7TH ST, MIAMI, FL 33125-4139
(305) 266-3705
(305) 266-3706
Mailing address
3255 NW 7TH ST, MIAMI, FL 33125-4139
(305) 266-3705
(305) 266-3706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016223400
—
FL
Enumeration date
08/11/2014
Last updated
05/22/2025
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