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NPI Code Detail

MEDICARE: LAS AMERICAS PARMACY CORP.

MEDICARE: LAS AMERICAS PARMACY CORP.
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 PharmacyPH19621FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11001635OTHERFLNCPDP

General Provider Information

NPI Number : 1396846473
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS AMERICAS PARMACY CORP.
Provider Business Mailing Address
First Line : 4544 W 12TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3325
Country : US
Telephone Number : 305-828-3388
Fax Number : 305-828-3377
Provider Business Practice Location Address
First Line : 4544 W 12TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3325
Country : US
Telephone Number : 305-828-3388
Fax Number : 305-828-3377
Authorized Official
Title or Position : VICE/PRESIDENT
Name : EDUARDO GEGUNDE
Credential :
Telephone Number : 305-828-3388
Provider Enumeration Date : 09/25/2006
Last Update Date : 08/22/2020

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Directions to “LAS AMERICAS PARMACY CORP. ” Practice Location

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