Organization
VANGUARD PHARMACY & DISCOUNT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIEL F CUEVAS (PRESIDENT OWNER)
(305) 262-1266
Entity
Organization
Contact information
Practice address
2089 SW 67TH AVE, MIAMI, FL 33155-1835
(305) 262-1266
(305) 262-1267
Mailing address
2089 SW 67TH AVE, MIAMI, FL 33155-1835
(305) 262-1266
(305) 262-1267
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH28774
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
02/09/2015
Last updated
02/09/2015
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