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
Phone: (305) 603-7145
Fax: (786) 518-3496
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073919718 | NPPES |
| Other | 2147350 | PK |
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