Visa Pharmacy & Discount Store INC

NPI #1407049943 in Hialeah Gardens, Florida

Provider Information

NPI Number
1407049943
Entity Type
Organization
Organization Name
Visa Pharmacy & Discount Store INC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Aug 18, 2007
Last Updated
Aug 18, 2007

Practice Location

Address
10171 NW 129TH TER
State
Florida
ZIP Code
33018-1656
Phone
(305) 761-4817

Authorized Official

Name
JOSEFINA E DELGADO, RPH
Title
PHARMACY MANAGER
Phone
(305) 691-7817

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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