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NPI Code Detail

MEDICARE: EXCELLENT PHARMACY & DISCOUNT

MEDICARE: EXCELLENT PHARMACY & 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
13336C0003XCommunity/Retail PharmacyFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PH25284OTHERFLBOARD OF PHARMACY

General Provider Information

NPI Number : 1033416433
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELLENT PHARMACY & DISCOUNT
Provider Business Mailing Address
First Line : 11400 W FLAGLER ST
Second Line : 109-110
City : MIAMI
State : FL
Zip : 33174-4007
Country : US
Telephone Number : 305-456-1465
Fax Number :
Provider Business Practice Location Address
First Line : 11400 W FLAGLER ST
Second Line : 109-110
City : MIAMI
State : FL
Zip : 33174-4007
Country : US
Telephone Number : 305-456-1465
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. SERGIO E SIGLER
Credential :
Telephone Number : 305-456-1465
Provider Enumeration Date : 02/21/2011
Last Update Date : 02/21/2011

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Directions to “EXCELLENT PHARMACY & DISCOUNT ” Practice Location

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