Provider Demographics
NPI:1013245877
Name:NELA PHARMACY DISCOUNT AND MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:NELA PHARMACY DISCOUNT AND MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-406-4896
Mailing Address - Street 1:2640 SW 137TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6314
Mailing Address - Country:US
Mailing Address - Phone:305-220-5599
Mailing Address - Fax:305-220-5600
Practice Address - Street 1:2640 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6314
Practice Address - Country:US
Practice Address - Phone:305-220-5599
Practice Address - Fax:305-220-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy