Provider Demographics
NPI:1558639385
Name:GALAXY PHARMACY & DISCOUNT INC
Entity Type:Organization
Organization Name:GALAXY PHARMACY & DISCOUNT INC
Other - Org Name:GALAXY PHARMACY & DISCOUNT INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-362-6390
Mailing Address - Street 1:900 W FLAGLER ST
Mailing Address - Street 2:SUITE # D
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1173
Mailing Address - Country:US
Mailing Address - Phone:786-362-6390
Mailing Address - Fax:786-362-6357
Practice Address - Street 1:900 W FLAGLER ST STE D
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1174
Practice Address - Country:US
Practice Address - Phone:786-362-6390
Practice Address - Fax:786-362-6357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25820333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5708396OtherNCPDP PROVIDER IDENTIFICATION NUMBER