La Ideal Pharmacy & Discount

NPI #1144567884 in Hialeah, Florida

Provider Information

NPI Number: 1144567884
Entity Type: Organization
Organization Name: La Ideal Pharmacy & Discount
Primary Specialty: Pharmacy
Enumeration Date: Jan 15, 2013
Last Updated: Jan 15, 2013

Practice Location

Address: 4920 E 4 AVE
City: Hialeah
State: Florida
ZIP Code: 33012
Phone: (305) 821-0070

Authorized Official

Name: MR. LUIS IVAN HERNANDEZ
Title: PRESIDENT
Phone: (305) 821-0070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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