Organization
G AND Y DME AND SUPPLY CORP
Active
Other names
G AND Y COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CRUZ (PRESIDENT)
(305) 256-0091
Entity
Organization
Contact information
Practice address
5896 W FLAGLER ST, MIAMI, FL 33144-3363
(305) 265-0091
(305) 265-0084
Mailing address
5896 W FLAGLER ST, MIAMI, FL 33144-3363
(305) 265-0091
(305) 265-0084
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031878
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2006
Last updated
05/02/2011
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