Organization
OLYMPIA DISCOUNT CORP
Active
Other names
OLYMPIA DISCOUNT
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO RODRIGUEZ (PRESIDENT)
(305) 551-8161
Entity
Organization
Contact information
Practice address
14281 SW 42ND ST, MIAMI, FL 33175-6408
(305) 551-8161
(305) 551-8162
Mailing address
14281 SW 42ND ST, MIAMI, FL 33175-6408
(305) 551-8161
(305) 551-8162
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049510
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/01/2009
Last updated
12/19/2012
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