Provider Demographics
NPI:1033421144
Name:PASTEUR PHARMACY II, LLC
Entity Type:Organization
Organization Name:PASTEUR PHARMACY II, LLC
Other - Org Name:PASTEUR PHARMACY II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TARIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWATMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-422-6821
Mailing Address - Street 1:5900 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6025
Mailing Address - Country:US
Mailing Address - Phone:305-722-8580
Mailing Address - Fax:
Practice Address - Street 1:5900 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-6025
Practice Address - Country:US
Practice Address - Phone:305-722-8580
Practice Address - Fax:305-722-8563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH251353336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy