Provider Demographics
NPI:1134439128
Name:DIXIE DRUGS INC
Entity type:Organization
Organization Name:DIXIE DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAEF
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-794-4117
Mailing Address - Street 1:13222 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-4133
Mailing Address - Country:US
Mailing Address - Phone:786-362-6921
Mailing Address - Fax:786-313-3276
Practice Address - Street 1:13222 W DIXIE HWY
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4133
Practice Address - Country:US
Practice Address - Phone:786-362-6921
Practice Address - Fax:786-313-3276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH249353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH24935OtherFLORIDA PHARMACY PERMIT NUMBER