MEDICARE: HELLO PHARMACY AND DISCOUNT INC

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
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2151907	OTHER		PK

General Provider Information

NPI Number	:	1043697535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELLO PHARMACY AND DISCOUNT INC

Provider Business Mailing Address
First Line	:	17845D NW 27TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-3502
Country	:	US
Telephone Number	:	305-625-1887
Fax Number	:	305-625-7880

Provider Business Practice Location Address
First Line	:	17845D NW 27TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-3502
Country	:	US
Telephone Number	:	305-625-1887
Fax Number	:	305-625-7880

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANA RUMBAUT
Credential	:
Telephone Number	:	305-625-1887

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	05/15/2015

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