Organization
LA ESPERANZA PHARMACY DISCOUNT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS AVILA (PRESIDENT/OWNER)
(786) 547-8219
Entity
Organization
Contact information
Practice address
5858 W 20TH AVE, HIALEAH, FL 33016-2603
(786) 547-8219
(786) 547-8219
Mailing address
5858 W 20TH AVE, HIALEAH, FL 33016-2603
(786) 547-8219
(786) 547-8219
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5707786
NCPDP
FL
Enumeration date
10/05/2011
Last updated
04/09/2014
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