Provider Demographics
NPI:1477984284
Name:CAROLINA PHARMACY AND DISCOUNT CO
Entity Type:Organization
Organization Name:CAROLINA PHARMACY AND DISCOUNT CO
Other - Org Name:BUENA VISTA PHARMACY DISCOUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ CORDERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-3320
Mailing Address - Street 1:4705 SW 8TH ST
Mailing Address - Street 2:1
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2546
Mailing Address - Country:US
Mailing Address - Phone:786-360-3320
Mailing Address - Fax:
Practice Address - Street 1:4705 SW 8TH ST
Practice Address - Street 2:1
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2546
Practice Address - Country:US
Practice Address - Phone:786-360-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH275433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy