MEDICARE: CACHITA PHARMACY 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	PH20999	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518072420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CACHITA PHARMACY DISCOUNT,INC.

Provider Business Mailing Address
First Line	:	11400 W FLAGLER ST
Second Line	:	SUITE 109-110
City	:	MIAMI
State	:	FL
Zip	:	33174-4007
Country	:	US
Telephone Number	:	305-552-8282
Fax Number	:	305-552-7252

Provider Business Practice Location Address
First Line	:	11400 W FLAGLER ST
Second Line	:	SUITE 109-110
City	:	MIAMI
State	:	FL
Zip	:	33174-4007
Country	:	US
Telephone Number	:	305-552-8282
Fax Number	:	305-552-7252

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FELICIA DIAZ
Credential	:
Telephone Number	:	305-552-8282

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/22/2020

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