Provider Demographics
NPI:1023195187
Name:LORENZO'S PHARMACY & DISCOUNT, INC.
Entity Type:Organization
Organization Name:LORENZO'S PHARMACY & DISCOUNT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEYTER
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-6073
Mailing Address - Street 1:2800 W 84TH ST
Mailing Address - Street 2:#12
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4922
Mailing Address - Country:US
Mailing Address - Phone:305-512-6073
Mailing Address - Fax:305-512-6074
Practice Address - Street 1:2800 W 84TH ST
Practice Address - Street 2:#12
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4922
Practice Address - Country:US
Practice Address - Phone:305-512-6073
Practice Address - Fax:305-512-6074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH22336333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5980620001Medicare NSC