Organization
PROFESSIONAL PHARMACYDISCOUNT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA FARFAN (P)
(305) 551-0041
Entity
Organization
Contact information
Practice address
13218 SW 8TH ST, MIAMI, FL 33184-1176
(305) 551-0041
Mailing address
13218 SW 8TH ST, MIAMI, FL 33184-1176
(305) 551-0041
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 18676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25518100
—
FL
Enumeration date
08/21/2006
Last updated
08/22/2020
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