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NPI Code Detail

MEDICARE: HEALTH STAR PHARMACY DISCOUNT SUPPLY CORP

MEDICARE: HEALTH STAR PHARMACY DISCOUNT SUPPLY 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
1333600000XPharmacyFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14571OTHERFLDOC NUMBER

General Provider Information

NPI Number : 1477850840
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTH STAR PHARMACY DISCOUNT SUPPLY CORP
Provider Business Mailing Address
First Line : 11264 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-4203
Country : US
Telephone Number : 305-382-2255
Fax Number : 305-382-2259
Provider Business Practice Location Address
First Line : 11264 SW 137TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-4203
Country : US
Telephone Number : 305-382-2255
Fax Number : 305-382-2259
Authorized Official
Title or Position : PRESIDENT
Name : RICARDO FILGUEIRAS
Credential :
Telephone Number : 305-382-2259
Provider Enumeration Date : 02/22/2011
Last Update Date : 03/19/2012

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Directions to “HEALTH STAR PHARMACY DISCOUNT SUPPLY CORP ” Practice Location

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