Provider Demographics
NPI:1275306243
Name:MAYA PHARMACY CORP
Entity Type:Organization
Organization Name:MAYA PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-926-7324
Mailing Address - Street 1:11045 SW 216TH ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-3073
Mailing Address - Country:US
Mailing Address - Phone:306-926-7324
Mailing Address - Fax:
Practice Address - Street 1:11045 SW 216TH ST UNIT 2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-3073
Practice Address - Country:US
Practice Address - Phone:786-713-0512
Practice Address - Fax:786-713-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy