Provider Demographics
NPI:1083965115
Name:FARMACIA ADELFA & PATY INC
Entity Type:Organization
Organization Name:FARMACIA ADELFA & PATY INC
Other - Org Name:FARMACIA ADELFA & PATY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DELFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABARCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-450-9693
Mailing Address - Street 1:626 SW 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1338
Mailing Address - Country:US
Mailing Address - Phone:305-227-8990
Mailing Address - Fax:
Practice Address - Street 1:626 SW 109TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1338
Practice Address - Country:US
Practice Address - Phone:305-227-8990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH23194333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137086OtherPK