1124596150 NPI number — RX FOR ALL PHARMACY CORP

Table of content: (NPI 1124596150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124596150 NPI number — RX FOR ALL PHARMACY CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RX FOR ALL PHARMACY CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124596150
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
620 E 40TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIALEAH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33013-2337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-490-4958
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1325 NW 93RD CT STE B109
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33172-2835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-490-4968
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2018

Additional Information

Authorized Official

Authorized Official Last Name:
LEAL
Authorized Official First Name:
NATALY
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY DEPARTMENT MANAGER
Authorized Official Telephone Number:
305-490-4968

Provider Taxonomy Codes

  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 103132000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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