Organization
OMG PHARMACY DISCOUNT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAYN BOU (PRESIDENT)
(305) 629-9032
Entity
Organization
Contact information
Practice address
7305 NW 36TH ST, MIAMI, FL 33166-6704
(305) 629-9032
(305) 629-9034
Mailing address
7305 NW 36TH ST, MIAMI, FL 33166-6704
(305) 629-9032
(305) 629-9034
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4334
DOC NUMB
FL
Enumeration date
04/02/2012
Last updated
04/02/2012
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