Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonanza State Pharmacy and Discount Corp

Organization Community/Retail Pharmacy · NPI 1649438623

Bonanza State Pharmacy and Discount Corp is a Community/Retail Pharmacy in Miami, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19752 SW 177th Ave
Miami, FL 33187-2600
Phone: (305) 378-6116
Fax: (305) 378-4435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH23397 (FL)

Record details

NPI number1649438623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Raymond — President · (305) 378-6116
Other names Redland Pharmacy Discount
NPI enumeratedMay 27, 2008
Last updated in NPPESMarch 20, 2009
Mailing address19752 Sw 177th Ave, Miami, FL 33187-2600

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