Provider Demographics
NPI:1215591102
Name:LAS AMERICAS FARMACIA LATINA INC
Entity Type:Organization
Organization Name:LAS AMERICAS FARMACIA LATINA INC
Other - Org Name:LAS AMERICAS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MESA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-591-2840
Mailing Address - Street 1:1053-1 OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2128
Mailing Address - Country:US
Mailing Address - Phone:631-591-2840
Mailing Address - Fax:631-591-2841
Practice Address - Street 1:1053-1 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2128
Practice Address - Country:US
Practice Address - Phone:631-591-2840
Practice Address - Fax:631-591-2841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy