Organization
ALBA PHARMACY AND DISCOUNT INC
Active
Other names
Alba Pharmacy and Dicount Inc
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO RODRIGUEZ (PRESIDENT)
(786) 237-7804
Entity
Organization
Contact information
Practice address
918 E 25TH ST, HIALEAH, FL 33013-3404
(786) 703-4966
Mailing address
918 E 25TH ST, HIALEAH, FL 33013-3404
(786) 703-4966
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146443
PK
—
Enumeration date
06/23/2014
Last updated
06/23/2014
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