San Judas Pharmacy Corp

LBN: San Judas Pharmacy Corp
San Judas Pharmacy Corp is an health care organization with primary practice located at 2604 W 84Th St , Hialeah FL 33016-5703. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. San Judas Pharmacy Corp can be contacted via phone (305) 603-7145, or through Naranjo, Puro via phone (305) 603-7145.

Contact Information

Primary practice address
2604 W 84Th St Hialeah FL 33016-5703
Fax: (786) 518-3496
Website:
Authorized official contact:
Name: Naranjo, Puro

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X PH28699 Florida

Profile Details

NPI number 1073919718
LBN Legal business name San Judas Pharmacy Corp
DBA Doing business as San Judas Pharmacy Corp
Authorized official Naranjo, Puro
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2014
Last updated Nov 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073919718 NPPES
Other 2147350 PK

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