Provider Demographics
NPI:1447390422
Name:DUARTE THE REAL DISCOUNT
Entity Type:Organization
Organization Name:DUARTE THE REAL DISCOUNT
Other - Org Name:DUARTE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-897-4031
Mailing Address - Street 1:1603 NW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-2139
Mailing Address - Country:US
Mailing Address - Phone:305-635-1029
Mailing Address - Fax:305-638-0199
Practice Address - Street 1:1603 NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-2139
Practice Address - Country:US
Practice Address - Phone:305-635-1029
Practice Address - Fax:305-638-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH218203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5666420001Medicare ID - Type Unspecified