Organization Name: | MAJORCA DRUG STORE INC |
NPI Number: | 1023099926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PIEDAD CARBALLO (PRESIDENT) |
Mailing Address: | 1823 Ponce De Leon Blvd Coral Gables |
State: | FL US |
Postal Code: | 331344418 |
Phone Number: | 3054481757 |
Fax Number: | 3054481758 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |