Provider Demographics
NPI:1033406954
Name:JAIMY PHARMACY INC
Entity Type:Organization
Organization Name:JAIMY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LLANES
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:786-431-1870
Mailing Address - Street 1:5080 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1545
Mailing Address - Country:US
Mailing Address - Phone:786-431-1870
Mailing Address - Fax:786-536-5017
Practice Address - Street 1:5080 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1545
Practice Address - Country:US
Practice Address - Phone:786-431-1870
Practice Address - Fax:786-536-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25545333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy