Organization
MGM PHARMACY & DISCOUNT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAURYS MARTINEZ (PRESIDENT)
(305) 491-8519
Entity
Organization
Contact information
Practice address
2007 SW 8TH ST, MIAMI, FL 33135-3317
(305) 631-9642
(305) 631-9645
Mailing address
2007 SW 8TH ST, MIAMI, FL 33135-3317
(305) 631-9642
(305) 631-9645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH19922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098563
NCPDP
FL
Enumeration date
06/30/2005
Last updated
08/22/2020
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