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COUNTRY CLUB PHARMACY & DISCOUNT INC NPI 1447691555


NPI Information

NPI: 1447691555
Provider Name: COUNTRY CLUB PHARMACY & DISCOUNT INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
5911 NW 173RD DR
# 6
HIALEAH, FL
ZIP 33015
Phone: (305) 828-8600
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COUNTRY CLUB PHARMACY & DISCOUNT INC is a long term care pharmacy pharmacy in Hialeah, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COUNTRY CLUB PHARMACY & DISCOUNT INC NPI is 1447691555. The provider is registered as an organization entity type.

The provider's business location address is:

5911 NW 173RD DR
# 6
HIALEAH, FL
ZIP 33015-121
Phone: (305) 828-8600
Fax: (305) 828-8630

The provider's authorized official is Daisy Martinez .
The authorized official title is President and has the following contact phone number (305) 828-8600.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 7/17/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyPH26903FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13719OTHERFLORIDANUMB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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