Provider Demographics
NPI:1568816585
Name:DISCOUNT RX LLC
Entity Type:Organization
Organization Name:DISCOUNT RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-874-6752
Mailing Address - Street 1:5325 26TH ST W
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-3012
Mailing Address - Country:US
Mailing Address - Phone:941-216-3788
Mailing Address - Fax:941-216-3789
Practice Address - Street 1:5325 26TH ST W
Practice Address - Street 2:SUITE 2
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-3012
Practice Address - Country:US
Practice Address - Phone:941-216-3788
Practice Address - Fax:941-216-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH292833336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy