Organization
MAZ PHARMACY DISCOUNT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO PORRUA (PRESIDENT)
(786) 703-3263
Entity
Organization
Contact information
Practice address
3825 W 16TH AVE, SUITE 6, HIALEAH, FL 33012-7005
(786) 703-3263
(786) 703-3267
Mailing address
3825 W 16TH AVE, SUITE 6, HIALEAH, FL 33012-7005
(786) 703-3263
(786) 703-3267
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27479
FL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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