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Organization

VISA PHARMACY & DISCOUNT STORE INC

Active
Other names
Sedano's Pharmacy # 3
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEFINA E DELGADO RPH (PHARMACY MANAGER)
(305) 691-7817
Entity
Organization

Contact information

Practice address
10171 NW 129TH TER, HIALEAH GARDENS, FL 33018-1656
(305) 761-4817
Mailing address
1700 W 68TH ST, HIALEAH, FL 33014-4437
(305) 556-3008
(786) 621-5477

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PH0008168
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS25456
PHARMACIST
FL
Enumeration date
08/18/2007
Last updated
08/18/2007
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