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Organization

PROPHARMACY & DISCOUNT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GILBERTO ALFONSO (OWNER)
(305) 244-9433
Entity
Organization

Contact information

Practice address
11478 QUAIL ROOST DR, MIAMI, FL 33157-6575
(305) 971-3388
(305) 971-3308
Mailing address
11478 QUAIL ROOST DR, MIAMI, FL 33157-6575
(305) 971-3388
(305) 971-3306

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH 21025
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026966200
FL
01
1082584
NABP
FL
Enumeration date
01/05/2007
Last updated
07/08/2014
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