Organization
PALM AVE PHARMACY DISCOUNT CORPORATION
Active
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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