Provider Demographics
NPI:1457499949
Name:BELLAMAR PHARMACY INC
Entity Type:Organization
Organization Name:BELLAMAR PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORESTES
Authorized Official - Middle Name:D
Authorized Official - Last Name:SUCAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-221-6060
Mailing Address - Street 1:10332 WEST FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174
Mailing Address - Country:US
Mailing Address - Phone:305-221-6060
Mailing Address - Fax:
Practice Address - Street 1:10332 WEST FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174
Practice Address - Country:US
Practice Address - Phone:305-221-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH7043333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy