Organization
17TH STREET PHARMACY & DISCOUNT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYSI MARIA ZAYAS-ALFONSO (REG PHARMACY TECH)
(305) 903-6108
Entity
Organization
Contact information
Practice address
1691 NW 27TH AVE, MIAMI, FL 33125-2162
(786) 362-5997
(786) 558-8643
Mailing address
1691 NW 27TH AVE, MIAMI, FL 33125-2162
(786) 362-5997
(786) 558-8643
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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