Organization
EXCELLENCE PHARMACY DISCOUNT INC
Active
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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