Organization
ENCORE PHARMACY DISCOUNT INC
Active
Other names
ENCORE PHARMACY DISCOUNT INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PAEZ (PRESIDENT)
(407) 943-7345
Entity
Organization
Contact information
Practice address
105 E MONUMENT AVE, KISSIMMEE, FL 34741-5761
(407) 943-7345
(407) 944-4119
Mailing address
105 E MONUMENT AVE, KISSIMMEE, FL 34741-5761
(407) 943-7345
(407) 944-4119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH22861
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033947
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/14/2007
Last updated
10/14/2010
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