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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
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