THE MEDICARE SHOPPE INCORPORATED
Pharmacy at 4 Ave, Hialeah, FL

License number
Florida 1222810001
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
License number
Florida PH16014
Category
Suppliers
Type
Pharmacy
Owner
Name: MR. LUIS ANDRES FERNANDEZ CERTIFIED ORTHOTIST
Title: PRESIDENT / PROGRAM DIRECTOR
Phone: (305) 693-3544
Address
Address
3013 E 4Th Ave, Hialeah, FL 33013
National Provider ID: 1326045345
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THE MEDICARE SHOPPE INCORPORATED at bizstanding.com

The Medicare Shoppe Incorporated

3013 E 4 Ave, Hialeah, FL 33013

Status:
Inactive
Industry:
Ret Drugs/Sundries
Doing business as:
Medicare Shoppe Inc<br>The Medicare Shoppe Inc
Registration:
Mar 3, 1998
State ID:
P98000020103
Business type:
Domestic for Profit Corporation
President, Secretary, Vice Presidents:
Luis A. Fernandez President, Program Director, inactive,Edda I. Fernandez President, Treasurer, Secretary, Vice President, inactive,Ivonne E. Fernandez President, Secretary, Vice President, inactive
Agent:
Anthony Dieguez

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