Provider Demographics
NPI:1174934095
Name:B S PHARMACY CORP
Entity type:Organization
Organization Name:B S PHARMACY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIVANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-359-4528
Mailing Address - Street 1:10788 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2499
Mailing Address - Country:US
Mailing Address - Phone:786-359-4528
Mailing Address - Fax:786-359-4972
Practice Address - Street 1:10788 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2499
Practice Address - Country:US
Practice Address - Phone:786-359-4528
Practice Address - Fax:786-359-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH281483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145797OtherPK