Provider Demographics
NPI:1437215498
Name:TARANO MEDICAL SUPPLLY,INC
Entity Type:Organization
Organization Name:TARANO MEDICAL SUPPLLY,INC
Other - Org Name:MEDSPLU PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TARANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-7882
Mailing Address - Street 1:6033 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5039
Mailing Address - Country:US
Mailing Address - Phone:305-267-7882
Mailing Address - Fax:305-267-7992
Practice Address - Street 1:6033 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5039
Practice Address - Country:US
Practice Address - Phone:305-267-7882
Practice Address - Fax:305-267-7992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH194193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1099591OtherNCDP