Organization
MEDSTAR INC
Active
Other names
MEDSTAR INC
Organization subpart
No
Provider details
NPI number
Authorized official
HORTENSIA AMADOR (OWNER)
(305) 362-5848
Entity
Organization
Contact information
Practice address
2108 W 68TH ST, HIALEAH, FL 33016-1804
(305) 362-5848
(305) 362-5847
Mailing address
2108 W 68TH ST, HIALEAH, FL 33016-1804
(305) 362-5848
(305) 362-5847
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032591
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2008
Last updated
12/01/2009
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