Organization
BONANZA STATE PHARMACY AND DISCOUNT CORP
Active
Other names
REDLAND PHARMACY DISCOUNT
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY RAYMOND (PRESIDENT)
(305) 378-6116
Entity
Organization
Contact information
Practice address
19752 SW 177TH AVE, MIAMI, FL 33187-2600
(305) 378-6116
(305) 378-4435
Mailing address
19752 SW 177TH AVE, MIAMI, FL 33187-2600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035408
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/27/2008
Last updated
03/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us