Provider Demographics
NPI:1184651416
Name:DUBLIN PHARMACY & DISCOUNT, INC
Entity Type:Organization
Organization Name:DUBLIN PHARMACY & DISCOUNT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-251-3008
Mailing Address - Street 1:491 HIALEAH DR
Mailing Address - Street 2:2
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5335
Mailing Address - Country:US
Mailing Address - Phone:305-888-0292
Mailing Address - Fax:
Practice Address - Street 1:491 HIALEAH DR
Practice Address - Street 2:2
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5335
Practice Address - Country:US
Practice Address - Phone:305-888-0292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5776380001Medicare NSC