Organization
D'LEON PHARMACY DISCOUNT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET HEREDIA (PRESIDENT)
(305) 424-2074
Entity
Organization
Contact information
Practice address
1944 NW 17TH AVE, SUITE B, MIAMI, FL 33125-1546
(305) 424-2074
(305) 487-7503
Mailing address
1944 NW 17TH AVE, SUITE B, MIAMI, FL 33125-1546
(305) 424-2074
(305) 487-7503
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901
DOC NUMBER
FL
Enumeration date
04/21/2011
Last updated
01/10/2012
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