Organization
LAS VILLAS PHARMACY DISCOUNT AND MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA M CASTANEDA (PRESIDENT)
(305) 883-7476
Entity
Organization
Contact information
Practice address
716 W 29TH ST, HIALEAH, FL 33012-5606
(305) 883-7476
(305) 883-7479
Mailing address
716 W 29TH ST, HIALEAH, FL 33012-5606
(305) 883-7476
(305) 883-7479
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 22892
FL
Other
Enumeration date
08/31/2007
Last updated
04/20/2008
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