Organization
PERDOMOS PHARMACY & DISCOUNT INC
Active
Organization
PERDOMOS PHARMACY & DISCOUNT INC
Active
Other names
Perdomo's Pharmacy & Discount Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GONZALO PERDOMO (PRESIDENT)
(305) 818-1971
Entity
Organization
Contact information
Practice address
4286A PALM AVE, HIALEAH, FL 33012-4454
(305) 818-1971
(305) 818-1902
Mailing address
4286A PALM AVE, HIALEAH, FL 33012-4454
(305) 818-1971
(305) 818-1902
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043380
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/24/2008
Last updated
06/29/2009
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