Provider Demographics
NPI:1497054514
Name:JAR PHARMACY & DISCOUNT CORP
Entity Type:Organization
Organization Name:JAR PHARMACY & DISCOUNT CORP
Other - Org Name:JAR PHARMACY & DISCOUNT CORP.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADELFA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-603-8396
Mailing Address - Street 1:4800 W FLAGLER ST STE 105
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1464
Mailing Address - Country:US
Mailing Address - Phone:305-603-8396
Mailing Address - Fax:786-360-5951
Practice Address - Street 1:4800 W FLAGLER ST STE 105
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1464
Practice Address - Country:US
Practice Address - Phone:305-603-8396
Practice Address - Fax:786-360-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH253953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5706962OtherNCPDP PROVIDER IDENTIFICATION NUMBER