Organization · NPI-2

17th Street Pharmacy & Discount, INC

Pharmacy, Community/Retail Pharmacy · Miami, FL

NPI number1942574801

StatusActive

Last updated in NPPESFeb 23, 2012

Details

NPI: 1942574801
Entity type: Organization (NPI-2)
Legal business name: 17th Street Pharmacy & Discount, INC
Organization subpart: No
Enumeration date: Feb 23, 2012
Last updated: Feb 23, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–	Yes

Practice location

1691 Nw 27th Ave
Miami, FL 33125-2162

Phone 786-362-5997 · Fax 786-558-8643

Mailing address

1691 Nw 27th Ave
Miami, FL 33125-2162

Phone 786-362-5997 · Fax 786-558-8643

Authorized official

Daysi Maria Zayas-Alfonso
Reg Pharmacy Tech
3059036108

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