Provider Demographics
NPI:1346661204
Name:PHARMACY EXPRESS & DISCOUNT CORP
Entity type:Organization
Organization Name:PHARMACY EXPRESS & DISCOUNT CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-663-6043
Mailing Address - Street 1:3101 W HALLANDALE BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5154
Mailing Address - Country:US
Mailing Address - Phone:305-663-6043
Mailing Address - Fax:305-230-2606
Practice Address - Street 1:3101 W HALLANDALE BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5154
Practice Address - Country:US
Practice Address - Phone:305-663-6043
Practice Address - Fax:305-663-6092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH273013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy