Organization
PALM AVE PHARMACY DISCOUNT CORPORATION
Active
Other names
PALM AVE PHARMACY DISCOUNT CORP.
Organization subpart
No
Provider details
NPI number
Authorized official
MAYKEL MACHADO (PRESIDENT)
(786) 287-7374
Entity
Organization
Contact information
Practice address
1301 PALM AVE UNIT 105, HIALEAH, FL 33010-3461
(305) 887-7979
(305) 887-7909
Mailing address
1301 PALM AVE, STE #105, HIALEAH, FL 33010-3463
(305) 887-7979
(305) 887-7909
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708726
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/12/2012
Last updated
02/18/2013
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