Healthcare Provider Details

I. General information

NPI: 1932289428
Provider Name (Legal Business Name): MEF DISCOUNT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4633 NW 199TH ST
OPA LOCKA FL
33055-1508
US

IV. Provider business mailing address

4633 NW 199TH ST
OPA LOCKA FL
33055-1508
US

V. Phone/Fax

Practice location:
  • Phone: 305-625-6255
  • Fax: 305-628-2058
Mailing address:
  • Phone: 305-625-6255
  • Fax: 305-628-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH17430
License Number StateFL

VIII. Authorized Official

Name: MRS. MARIA ELENA FAILDE
Title or Position: PRESIDENT
Credential:
Phone: 305-625-6255