Provider Demographics
NPI:1932289428
Name:MEF DISCOUNT CORPORATION
Entity Type:Organization
Organization Name:MEF DISCOUNT CORPORATION
Other - Org Name:CAROLINA PHARMACY DISCOUNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:FAILDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-625-6255
Mailing Address - Street 1:4633 NW 199TH ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33055-1508
Mailing Address - Country:US
Mailing Address - Phone:305-625-6255
Mailing Address - Fax:305-628-2058
Practice Address - Street 1:4633 NW 199TH ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33055-1508
Practice Address - Country:US
Practice Address - Phone:305-625-6255
Practice Address - Fax:305-628-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH174303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH17430OtherSTATE PHARMACY LICENSE
FL1071377OtherNCPDP
FL1071377OtherNCPDP
FLPH17430OtherSTATE PHARMACY LICENSE