Organization
ACP MEDICAL SUPPLY CORP
Active
Other names
ACP Pharmacy Discount
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA PAZ (PRESIDENT)
(305) 500-9618
Entity
Organization
Contact information
Practice address
4723 NW 79TH AVE, DORAL, FL 33166-5403
(305) 500-9618
(305) 500-9619
Mailing address
4723 NW 79TH AVE, DORAL, FL 33166-5403
(305) 500-9618
(305) 500-9619
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038315
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/05/2006
Last updated
01/28/2010
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