Provider Demographics
NPI:1457661746
Name:RITZ PHARMACY INC
Entity Type:Organization
Organization Name:RITZ PHARMACY INC
Other - Org Name:RITZ PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-643-2906
Mailing Address - Street 1:2173 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1638
Mailing Address - Country:US
Mailing Address - Phone:305-643-2906
Mailing Address - Fax:305-643-9760
Practice Address - Street 1:2173 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1638
Practice Address - Country:US
Practice Address - Phone:305-643-2906
Practice Address - Fax:305-643-9760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH251233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5703916OtherNCPDP PROVIDER IDENTIFICATION NUMBER