Organization
YONG PHARMACY DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANILO FONSECA (PESIDENT)
(786) 388-4990
Entity
Organization
Contact information
Practice address
2324 SW 67TH AVE, MIAMI, FL 33155-1846
(786) 388-4990
(786) 388-7706
Mailing address
2324 SW 67TH AVE, MIAMI, FL 33155-1846
(786) 388-4990
(786) 388-7706
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031073500
—
FL
Enumeration date
08/17/2012
Last updated
08/17/2012
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