Organization
EXCELLENCE PHARMACY DISCOUNT INC
Active
Other names
EXCELLENCE PHARMACY DISCOUNT INC
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON PALACIO (OWNER)
(305) 846-9243
Entity
Organization
Contact information
Practice address
12887 SW 42ND ST, MIAMI, FL 33175-3435
(305) 846-9243
(305) 967-8744
Mailing address
12887 SW 42ND ST, MIAMI, FL 33175-3435
(305) 846-9243
(305) 967-8744
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140091
PK
—
Enumeration date
12/07/2011
Last updated
04/26/2013
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