Organization
ALBA PHARMACY AND DISCOUNT INC
Active
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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