MEDICARE: AVDRUGS 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
1	3336C0003X	Community/Retail Pharmacy	PH28050	FL

General Provider Information

NPI Number	:	1609287879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVDRUGS CORP

Provider Business Mailing Address
First Line	:	4993 SW 74TH CT
Second Line	:	SUITE A
City	:	MIAMI
State	:	FL
Zip	:	33155-4471
Country	:	US
Telephone Number	:	305-668-4649
Fax Number	:	305-668-4367

Provider Business Practice Location Address
First Line	:	4993 SW 74TH CT
Second Line	:	SUITE A
City	:	MIAMI
State	:	FL
Zip	:	33155-4471
Country	:	US
Telephone Number	:	305-668-4649
Fax Number	:	305-668-4367

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ENRIQUE CUBERO
Credential	:
Telephone Number	:	305-668-4649

Provider Enumeration Date	:	05/09/2014
Last Update Date	:	05/09/2014

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Directions to “AVDRUGS CORP ” Practice Location

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