Provider Demographics
NPI:1568634079
Name:ALF PHARMACY DISCOUNT INC
Entity Type:Organization
Organization Name:ALF PHARMACY DISCOUNT INC
Other - Org Name:ALF PHARMACY DISCOUNT INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDUEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-554-5424
Mailing Address - Street 1:390 SW 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:390 SW 109TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1332
Practice Address - Country:US
Practice Address - Phone:305-554-5424
Practice Address - Fax:305-554-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH232803336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1034696OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1034696OtherNCPDP PROVIDER IDENTIFICATION NUMBER