Provider Demographics
NPI:1033462007
Name:OLGUIN PHARMACY DISCOUNT CORP
Entity Type:Organization
Organization Name:OLGUIN PHARMACY DISCOUNT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAIYIBIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SABINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-502-0161
Mailing Address - Street 1:12236 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1552
Mailing Address - Country:US
Mailing Address - Phone:305-220-7360
Mailing Address - Fax:305-220-7149
Practice Address - Street 1:12236 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1552
Practice Address - Country:US
Practice Address - Phone:305-220-7360
Practice Address - Fax:305-220-7149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PH264123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy