MEDICARE: MARCO DISCOUNT DRUGS 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	PH7727	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1025661	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1366457988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCO DISCOUNT DRUGS INC

Provider Business Mailing Address
First Line	:	6627 S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6627 S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7919
Country	:	US
Telephone Number	:	305-665-4411
Fax Number	:	305-663-3258

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ED MARCO
Credential	:
Telephone Number	:	305-665-4411

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/22/2020

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Directions to “MARCO DISCOUNT DRUGS INC ” Practice Location

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