Organization
LILY & ROSY PHARMACY DISCOUNT CORP
Active
Other names
Lily & rosy pharmacy discount corp
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL NUEZ (PRESIDENT)
(305) 826-9967
Entity
Organization
Contact information
Practice address
4254 W 12TH AVE, HIALEAH, FL 33012-4108
(305) 826-9967
(305) 826-9969
Mailing address
4254 W 12TH AVE, HIALEAH, FL 33012-4108
(305) 826-9967
(305) 826-9969
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5704259
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/28/2010
Last updated
03/19/2012
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