Provider Demographics
NPI:1134691660
Name:A&N PHARMACY INC
Entity Type:Organization
Organization Name:A&N PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-5002
Mailing Address - Street 1:1701 W. FLAGLER ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135
Mailing Address - Country:US
Mailing Address - Phone:786-742-7973
Mailing Address - Fax:786-364-1212
Practice Address - Street 1:1701 W. FLAGLER ST
Practice Address - Street 2:SUITE 322
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135
Practice Address - Country:US
Practice Address - Phone:786-742-7973
Practice Address - Fax:786-364-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2711OtherNUMBER