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NPI Code Detail

MEDICARE: CVH PHARMACY DISCOUNT INC

MEDICARE: CVH PHARMACY DISCOUNT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPH25229FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15704021OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1336445659
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVH PHARMACY DISCOUNT INC
Provider Business Mailing Address
First Line : 4811 NW 183RD ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-2955
Country : US
Telephone Number : 305-974-5098
Fax Number : 305-974-5625
Provider Business Practice Location Address
First Line : 4811 NW 183RD ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-2955
Country : US
Telephone Number : 305-974-5098
Fax Number : 305-974-5625
Authorized Official
Title or Position : OWNER
Name : VELIA SALDADO
Credential :
Telephone Number : 786-704-3757
Provider Enumeration Date : 02/03/2011
Last Update Date : 11/15/2011

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Directions to “CVH PHARMACY DISCOUNT INC ” Practice Location

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