Provider Demographics
NPI:1235222175
Name:G FARMACIA DISCOUNT INC
Entity Type:Organization
Organization Name:G FARMACIA DISCOUNT INC
Other - Org Name:G FARMACIA DISCOUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTA CLEARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-220-7909
Mailing Address - Street 1:2416 NW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-7234
Mailing Address - Country:US
Mailing Address - Phone:305-635-5576
Mailing Address - Fax:305-635-5577
Practice Address - Street 1:2416 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-7234
Practice Address - Country:US
Practice Address - Phone:305-635-5576
Practice Address - Fax:305-635-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH222323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1023352OtherNCPDP PROVIDER IDENTIFICATION NUMBER