Provider Demographics
NPI:1760948855
Name:Q PHARMACY & DISCOUNT INC.
Entity Type:Organization
Organization Name:Q PHARMACY & DISCOUNT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-449-5614
Mailing Address - Street 1:1555 NW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-5559
Mailing Address - Country:US
Mailing Address - Phone:786-615-2319
Mailing Address - Fax:786-391-0586
Practice Address - Street 1:1555 NW 36TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5559
Practice Address - Country:US
Practice Address - Phone:786-615-2319
Practice Address - Fax:786-391-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH31892OtherFL DEPARTMENT OF HEALTH