Organization Name: | VISA PHARMACY & DISCOUNT STORE INC |
NPI Number: | 1407049943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEFINA E DELGADO (PHARMACY MANAGER) |
Mailing Address: | 10171 Nw 129th Ter Hialeah Gardens |
State: | FL US |
Postal Code: | 330181656 |
Phone Number: | 3057614817 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2007 |
NPI Last Update Date: | 08/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | PH0008168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |