Provider Demographics
NPI:1093126005
Name:DOS RIOS PHARMACY INC
Entity Type:Organization
Organization Name:DOS RIOS PHARMACY INC
Other - Org Name:DOS RIOS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-953-8970
Mailing Address - Street 1:2205 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1839
Mailing Address - Country:US
Mailing Address - Phone:786-953-8970
Mailing Address - Fax:786-953-8974
Practice Address - Street 1:2205 NW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-2207
Practice Address - Country:US
Practice Address - Phone:786-953-8970
Practice Address - Fax:786-953-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH280943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145649OtherPK