Organization
ALEX & FABY PHARMACY DISCOUNT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIANDENYS CASTILLO (PRESIDENT)
(305) 231-2571
Entity
Organization
Contact information
Practice address
3740 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 231-2571
(305) 231-2573
Mailing address
3740 W 12TH AVE, HIALEAH, FL 33012-4126
(305) 231-2571
(305) 231-2573
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 24901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3203
DOC NUMBER
FL
Enumeration date
11/16/2010
Last updated
11/16/2010
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