Organization
DIXIE PHARMACY DISCOUNT INC
Active
Other names
DIXIE PHARMACY DISCOUNT INC
Organization subpart
No
Provider details
NPI number
Authorized official
RAINOA HERNANDEZ (PRESIDENT)
(305) 233-9202
Entity
Organization
Contact information
Practice address
17027 S DIXIE HWY, PALMETTO BAY, FL 33157-4362
(305) 233-9202
(305) 233-8310
Mailing address
17027 S DIXIE HWY, PALMETTO BAY, FL 33157-4362
(305) 233-9202
(305) 233-8310
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH 26160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710428
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/16/2012
Last updated
12/07/2012
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