Healthcare Provider Details

I. General information

NPI: 1902297245
Provider Name (Legal Business Name): AVELLANEDA PHARMACY & DISCOUNT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 NW 36TH ST
MIAMI FL
33166-6704
US

IV. Provider business mailing address

7305 NW 36TH ST
MIAMI FL
33166-6704
US

V. Phone/Fax

Practice location:
  • Phone: 786-773-1772
  • Fax: 786-773-1708
Mailing address:
  • Phone: 786-773-1772
  • Fax: 786-773-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH29946
License Number StateFL

VIII. Authorized Official

Name: MARELVI JUDITH AGUERO
Title or Position: PRESIDENT
Credential:
Phone: 786-773-1772