Organization
MIDTOWN DISCOUNT PHARMACY INC
Active
Other names
Midtown Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADESOJI ADEWUMI (OWNER)
(954) 549-0697
Entity
Organization
Contact information
Practice address
4506 NW 2ND AVE, MIAMI, FL 33127-2610
(305) 456-3720
(786) 431-5933
Mailing address
4506 NW 2ND AVE, MIAMI, FL 33127-2610
(305) 456-3720
(786) 431-5933
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706594
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2011
Last updated
02/28/2013
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