Organization
MEDINA-MEDS PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL RIOS RPH (PRESIDENT/MANAGER)
(407) 394-1111
Entity
Organization
Contact information
Practice address
4675 OLD PLEASANT HILL RD, KISSIMMEE, FL 34759-3423
(407) 748-0140
Mailing address
4675 OLD PLEASANT HILL RD, KISSIMMEE, FL 34759-3423
(407) 394-1111
(407) 394-1470
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013921300
—
FL
Enumeration date
08/28/2014
Last updated
05/16/2025
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