Provider Demographics
NPI:1467885376
Name:PASTEUR PHARMACY VI, LLC
Entity Type:Organization
Organization Name:PASTEUR PHARMACY VI, LLC
Other - Org Name:PASTEUR PHARMACY VI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:NECUZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-422-6821
Mailing Address - Street 1:8000 GOVERNORS SQ BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6201
Mailing Address - Country:US
Mailing Address - Phone:786-422-6856
Mailing Address - Fax:
Practice Address - Street 1:8000 GOVERNORS SQ BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-6201
Practice Address - Country:US
Practice Address - Phone:786-422-6856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH3336C0002X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Yes3336C0002XSuppliersPharmacyClinic Pharmacy