Provider Demographics
NPI:1275892853
Name:PHARMA TOPCARE INC
Entity Type:Organization
Organization Name:PHARMA TOPCARE INC
Other - Org Name:BTV PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BASEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-751-7882
Mailing Address - Street 1:1495 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-3860
Mailing Address - Country:US
Mailing Address - Phone:305-751-7882
Mailing Address - Fax:305-751-7884
Practice Address - Street 1:1495 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-3860
Practice Address - Country:US
Practice Address - Phone:305-751-7882
Practice Address - Fax:305-751-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH261473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135189OtherPK
FL018107600Medicaid