MEDICARE: MAGGY 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	333600000X	Pharmacy	PH9860	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	:	1942366927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGGY PHARMACY DISCOUNT INC.

Provider Business Mailing Address
First Line	:	1255 W 46TH ST # 5-6
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3283
Country	:	US
Telephone Number	:	305-557-2262
Fax Number	:	305-823-9044

Provider Business Practice Location Address
First Line	:	1255 W 46TH ST # 5-6
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3283
Country	:	US
Telephone Number	:	305-557-2262
Fax Number	:	305-823-9044

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ELADIO GARCIA JR.
Credential	:
Telephone Number	:	305-557-2262

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/30/2016

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Directions to “MAGGY PHARMACY DISCOUNT INC. ” Practice Location

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