Organization
MEDO HEALTH CARE LLC
Active
Organization
MEDO HEALTH CARE LLC
Active
Other names
CASSELBERRY DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MILLAD AYYAD (PHARMACY OWNER)
(571) 201-4134
Entity
Organization
Contact information
Practice address
1015 STATE ROAD 436 STE 117, CASSELBERRY, FL 32707-5756
(321) 972-8947
(321) 972-8983
Mailing address
1015 STATE ROAD 436 STE 117, CASSELBERRY, FL 32707-5756
(321) 972-8947
(321) 972-8983
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701328
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2010
Last updated
12/20/2012
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