Organization
MIA PHARMACY DISCOUNT CORP
Active
Organization
MIA PHARMACY DISCOUNT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MARTINEZ (PRESIDENT)
(305) 643-8078
Entity
Organization
Contact information
Practice address
33 NW 27TH AVE, MIAMI, FL 33125-5111
(305) 643-8078
(305) 643-8079
Mailing address
33 NW 27TH AVE, MIAMI, FL 33125-5111
(305) 643-8078
(305) 643-8079
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035472
OTHER ID NUMBER
—
Enumeration date
05/14/2008
Last updated
09/26/2008
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