Organization
FIVE STAR PHARMACY AND DISCOUNT INC
Active
Other names
five star pharmacy and discount inc
Organization subpart
No
Provider details
NPI number
Authorized official
YANET CARBALLEIRO (PRESIDENT)
(305) 359-1187
Entity
Organization
Contact information
Practice address
8428 BIRD RD, MIAMI, FL 33155-3226
(305) 456-5090
(305) 456-5697
Mailing address
8428 SW 40TH ST, MIAMI, FL 33155-3226
(305) 456-5090
(305) 456-5697
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707940
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/28/2011
Last updated
04/06/2012
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