Provider Demographics
NPI:1003042219
Name:SANCHEZ, MARILUZ (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARILUZ
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-7309
Mailing Address - Fax:305-585-7412
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-7309
Practice Address - Fax:305-585-7412
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS263331835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist