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NPI Code Detail

MEDICARE: SAR PHARMACY DISCOUNT INC

MEDICARE: SAR 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 Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P11000001028OTHERFLDOC NUMBER

General Provider Information

NPI Number : 1568766228
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAR PHARMACY DISCOUNT INC
Provider Business Mailing Address
First Line : 2089 SW 67TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-1835
Country : US
Telephone Number : 305-263-6632
Fax Number : 305-263-6532
Provider Business Practice Location Address
First Line : 2089 SW 67TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-1835
Country : US
Telephone Number : 305-263-6632
Fax Number : 305-263-6532
Authorized Official
Title or Position : PRESIDENT
Name : YOELI SALGUEIRO
Credential :
Telephone Number : 305-263-6632
Provider Enumeration Date : 01/10/2011
Last Update Date : 02/23/2012

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Directions to “SAR PHARMACY DISCOUNT INC ” Practice Location

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