Provider Demographics
NPI:1598889677
Name:L.S.S. PHARMACY DISCOUNT, INC.
Entity Type:Organization
Organization Name:L.S.S. PHARMACY DISCOUNT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VITON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-226-1293
Mailing Address - Street 1:10521 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3747
Mailing Address - Country:US
Mailing Address - Phone:305-226-1293
Mailing Address - Fax:305-226-1294
Practice Address - Street 1:10521 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3747
Practice Address - Country:US
Practice Address - Phone:305-226-1293
Practice Address - Fax:305-226-1294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH226033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5920080001Medicare NSC