=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043409386
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TORRES PHARMACY DISCOUNT INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2007
-----------------------------------------------------
Last Update Date | 10/23/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 553B E 9TH ST
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33010-4549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-882-1404
-----------------------------------------------------
Fax | 305-882-1400
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 553B E 9TH ST
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33010-4549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-882-1404
-----------------------------------------------------
Fax | 305-882-1400
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACISTS
-----------------------------------------------------
Name | MRS. OBDULIA TORRES
-----------------------------------------------------
Credential | R.PH.
-----------------------------------------------------
Telephone | 305-882-1404
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH9324
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------