Provider Demographics
NPI:1629183413
Name:BUDGET DISCOUNT SALES CORP, BUDGET DRUGS
Entity Type:Organization
Organization Name:BUDGET DISCOUNT SALES CORP, BUDGET DRUGS
Other - Org Name:SOBE COMPOUNDING APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:CPH
Authorized Official - Phone:305-710-6697
Mailing Address - Street 1:13150 SW 134TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4378
Mailing Address - Country:US
Mailing Address - Phone:305-969-5410
Mailing Address - Fax:305-969-5453
Practice Address - Street 1:13150 SW 134TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4378
Practice Address - Country:US
Practice Address - Phone:305-969-5410
Practice Address - Fax:305-969-5453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH7693336C0003X
FLPH278413336C0004X, 3336H0001X, 3336L0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1014745OtherNCPDP
FL0418290001Medicare NSC