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NPI Code Detail

MEDICARE: NANY'S PHARMACY DISCOUNT CORP

MEDICARE: NANY'S PHARMACY DISCOUNT CORP
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 PharmacyPH21847FL

General Provider Information

NPI Number : 1184671414
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANY'S PHARMACY DISCOUNT CORP
Provider Business Mailing Address
First Line : 11264 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-4203
Country : US
Telephone Number : 305-380-9050
Fax Number : 305-380-9069
Provider Business Practice Location Address
First Line : 11264 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-4203
Country : US
Telephone Number : 305-380-9050
Fax Number : 305-380-9069
Authorized Official
Title or Position : PRESIDENT
Name : MRS. NANCY ROJAS
Credential :
Telephone Number : 305-380-9050
Provider Enumeration Date : 05/30/2006
Last Update Date : 07/28/2008

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Directions to “NANY'S PHARMACY DISCOUNT CORP ” Practice Location

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