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NPI Code Detail

MEDICARE: ROYAL PHARMACY AND DISCOUNT

MEDICARE: ROYAL PHARMACY AND DISCOUNT
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail PharmacyPH25404FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12129962OTHERPK

General Provider Information

NPI Number : 1023308905
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL PHARMACY AND DISCOUNT
Provider Business Mailing Address
First Line : 9961 SW 142ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6844
Country : US
Telephone Number : 786-313-3878
Fax Number : 786-313-3883
Provider Business Practice Location Address
First Line : 9961 SW 142ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-6844
Country : US
Telephone Number : 786-313-3878
Fax Number : 786-313-3883
Authorized Official
Title or Position : VICE PRESIDENT/OWNER
Name : ESTHER PEREZ
Credential :
Telephone Number : 786-313-3878
Provider Enumeration Date : 04/13/2011
Last Update Date : 04/25/2013

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Directions to “ROYAL PHARMACY AND DISCOUNT ” Practice Location

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