Organization
DRUG CENTER INC
Active
Organization
DRUG CENTER INC
Active
Other names
DRUG CENTER PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RENE QUEUEDO (VP PHCY MGR)
(305) 887-7900
Entity
Organization
Contact information
Practice address
1625 PALM AVE, HIALEAH, FL 33010-3000
(305) 887-7900
(305) 887-4820
Mailing address
1625 PALM AVE, HIALEAH, FL 33010-3000
(305) 887-7900
(305) 887-4820
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH6419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027514
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
103599100
—
FL
05
—
103599101
—
FL
Enumeration date
12/29/2006
Last updated
08/26/2009
Update your record
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