Organization
DOCTOR DIABETIC PHARMACY INC
Active
Other names
DOCTOR DIABETIC PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON EDWARDS (SR. VP PHARMACY OPERATION)
(888) 829-7581
Entity
Organization
Contact information
Practice address
100 NE 28TH ST, MIAMI, FL 33137-4423
(888) 829-7581
(866) 989-5899
Mailing address
100 NE 28TH STREET, MIAMI, FL 33137
(888) 829-7581
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701417
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/23/2010
Last updated
09/03/2010
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