Organization
PROFESSIONAL PHARMACY & DISCOUNT CO
Active
Other names
PROFESSIONAL PHARMACY DISCOUNT
Organization subpart
No
Provider details
NPI number
Authorized official
LISSET PRIETO (OWNER)
(305) 846-7903
Entity
Organization
Contact information
Practice address
934 SW 82ND AVE, MIAMI, FL 33144-4240
(305) 846-7903
(305) 846-7905
Mailing address
934 SW 82ND AVE, MIAMI, FL 33144-4240
(305) 846-7903
(305) 846-7905
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708170
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/21/2011
Last updated
06/22/2012
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