El Shadai Phcy Discount

NPI #1285677500 in Medley, Florida

Provider Information

NPI Number
1285677500
Entity Type
Organization
Organization Name
El Shadai Phcy Discount
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 14, 2006
Last Updated
Jan 14, 2010

Practice Location

Address
7911 NW 72ND AVE
Address 2
STE 118B
City
Medley
State
Florida
ZIP Code
33166-2227
Phone
(305) 863-3361

Authorized Official

Name
ALCIVIADES CISNEROS
Title
OWNER
Phone
(786) 344-0505

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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