Provider Demographics
NPI:1821314196
Name:CITY PHARMACY & DISCOUNT CORP
Entity Type:Organization
Organization Name:CITY PHARMACY & DISCOUNT CORP
Other - Org Name:CITY PHARMACY & DISCOUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTA-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-200-3898
Mailing Address - Street 1:923 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2477
Mailing Address - Country:US
Mailing Address - Phone:305-200-3898
Mailing Address - Fax:305-200-5837
Practice Address - Street 1:923 SW 122ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2477
Practice Address - Country:US
Practice Address - Phone:305-200-3898
Practice Address - Fax:305-200-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH245623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5700287OtherNCPDP PROVIDER IDENTIFICATION NUMBER